Provider Demographics
NPI:1477785343
Name:LOPEZ-ZEPEDA, ANNA ELISA (PA)
Entity Type:Individual
Prefix:MS
First Name:ANNA
Middle Name:ELISA
Last Name:LOPEZ-ZEPEDA
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:4121 N 10TH ST # 239
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-3004
Mailing Address - Country:US
Mailing Address - Phone:956-683-8700
Mailing Address - Fax:956-683-9440
Practice Address - Street 1:401 S ALAMO RD
Practice Address - Street 2:
Practice Address - City:ALAMO
Practice Address - State:TX
Practice Address - Zip Code:78516-2501
Practice Address - Country:US
Practice Address - Phone:956-787-9111
Practice Address - Fax:956-782-9254
Is Sole Proprietor?:No
Enumeration Date:2009-08-11
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA06232363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant