Provider Demographics
NPI:1588924369
Name:LOPEZ, HUMBERTO (DO)
Entity type:Individual
Prefix:
First Name:HUMBERTO
Middle Name:
Last Name:LOPEZ
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10 MEDICAL PKWY
Mailing Address - Street 2:PLAZA 3 SUIT 208
Mailing Address - City:FARMERS BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:75234-7840
Mailing Address - Country:US
Mailing Address - Phone:972-243-9607
Mailing Address - Fax:972-488-3323
Practice Address - Street 1:10 MEDICAL PKWY
Practice Address - Street 2:PLAZA 3 SUIT 208
Practice Address - City:FARMERS BRANCH
Practice Address - State:TX
Practice Address - Zip Code:75234-7840
Practice Address - Country:US
Practice Address - Phone:972-243-9607
Practice Address - Fax:972-488-3323
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-25
Last Update Date:2025-01-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXQ2328207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine