Provider Demographics
NPI:1942809587
Name:LOPEZ, ELENA GARZA (MSN, FNP-C)
Entity Type:Individual
Prefix:
First Name:ELENA
Middle Name:GARZA
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:370 TWISTED OAKS LN
Mailing Address - Street 2:
Mailing Address - City:BUDA
Mailing Address - State:TX
Mailing Address - Zip Code:78610-3092
Mailing Address - Country:US
Mailing Address - Phone:512-787-4018
Mailing Address - Fax:
Practice Address - Street 1:1941 S INTERSTATE 35
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-6168
Practice Address - Country:US
Practice Address - Phone:512-268-8900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-24
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1017591363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily