Provider Demographics
NPI:1346556784
Name:LOPEZ, EDRICK EUGENIO (MD, JD)
Entity Type:Individual
Prefix:DR
First Name:EDRICK
Middle Name:EUGENIO
Last Name:LOPEZ
Suffix:
Gender:M
Credentials:MD, JD
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Mailing Address - Street 1:3215 GATEWAY BLVD W
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79903-4225
Mailing Address - Country:US
Mailing Address - Phone:915-598-7246
Mailing Address - Fax:915-633-6598
Practice Address - Street 1:8810 LEBANON RD
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-8688
Practice Address - Country:US
Practice Address - Phone:469-294-0083
Practice Address - Fax:469-294-0084
Is Sole Proprietor?:No
Enumeration Date:2010-08-24
Last Update Date:2023-05-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXP90872081P2900X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine