Provider Demographics
NPI:1629074737
Name:LOPEZ, JOSEPH A (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:A
Last Name:LOPEZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1045 CENTRAL PARKWAY NORTH
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-5024
Mailing Address - Country:US
Mailing Address - Phone:210-541-4500
Mailing Address - Fax:210-541-4508
Practice Address - Street 1:5000 BAPTIST HEALTH DR
Practice Address - Street 2:SUITE 102
Practice Address - City:SCHERTZ
Practice Address - State:TX
Practice Address - Zip Code:78154-1193
Practice Address - Country:US
Practice Address - Phone:210-566-2656
Practice Address - Fax:210-566-2690
Is Sole Proprietor?:No
Enumeration Date:2005-06-23
Last Update Date:2011-05-19
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Provider Licenses
StateLicense IDTaxonomies
TXJ2167207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXJ2167OtherTX LICENSE NUMBER
TX87040BOtherBCBS OF TEXAS
TX1308637-08Medicaid
TX1308637-08Medicaid
TX8L15470Medicare PIN