Provider Demographics
NPI:1851731319
Name:ANNABELLE LOPEZ M.D., P.A.
Entity Type:Organization
Organization Name:ANNABELLE LOPEZ M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANNABELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-647-5529
Mailing Address - Street 1:913 S AIRPORT DR STE 201
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-6629
Mailing Address - Country:US
Mailing Address - Phone:956-647-5529
Mailing Address - Fax:956-647-5617
Practice Address - Street 1:913 S AIRPORT DR STE 201
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-6629
Practice Address - Country:US
Practice Address - Phone:956-647-5529
Practice Address - Fax:956-647-5617
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-28
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN1383207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Multi-Specialty