Provider Demographics
NPI:1497193817
Name:LOPEZ, HUGO (DNP, APRN, FNP-C)
Entity Type:Individual
Prefix:DR
First Name:HUGO
Middle Name:
Last Name:LOPEZ
Suffix:
Gender:M
Credentials:DNP, APRN, FNP-C
Other - Prefix:DR
Other - First Name:HUGO
Other - Middle Name:
Other - Last Name:LOPEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP-C
Mailing Address - Street 1:16735 LA CANTERA PKWY APT 5302
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78256-1781
Mailing Address - Country:US
Mailing Address - Phone:361-774-3753
Mailing Address - Fax:
Practice Address - Street 1:1224 3RD ST STE 6
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78404-2354
Practice Address - Country:US
Practice Address - Phone:361-774-3753
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-07
Last Update Date:2021-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP126112363LF0000X
TX674586163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WA2000XNursing Service ProvidersRegistered NurseAdministrator