Provider Demographics
NPI:1811904105
Name:LOPEZ, JORGE FRANCISCO (MD)
Entity type:Individual
Prefix:DR
First Name:JORGE
Middle Name:FRANCISCO
Last Name:LOPEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:JORGE
Other - Middle Name:F
Other - Last Name:LOPEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, PA
Mailing Address - Street 1:7777 FOREST LN.
Mailing Address - Street 2:SUITE C-806
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-6865
Mailing Address - Country:US
Mailing Address - Phone:972-566-8787
Mailing Address - Fax:972-566-8764
Practice Address - Street 1:7777 FOREST LN
Practice Address - Street 2:BUILDING C, SUITE 538
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2505
Practice Address - Country:US
Practice Address - Phone:972-566-8787
Practice Address - Fax:972-566-8764
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2015-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ6552207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology