Provider Demographics
NPI:1326725722
Name:JOHN LOPEZ DC
Entity Type:Organization
Organization Name:JOHN LOPEZ DC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTIONER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:361-884-9191
Mailing Address - Street 1:4825 EVERHART RD STE 2
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-2765
Mailing Address - Country:US
Mailing Address - Phone:361-884-9191
Mailing Address - Fax:361-884-9192
Practice Address - Street 1:4825 EVERHART RD STE 2
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-2765
Practice Address - Country:US
Practice Address - Phone:361-884-9191
Practice Address - Fax:361-884-9192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-28
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty