1881696227 NPI number — CHERYL P LOPEZ DO PA

Table of content: (NPI 1881696227)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881696227 NPI number — CHERYL P LOPEZ DO PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHERYL P LOPEZ DO PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
WOMENS FAMILY CLINIC PA
Provider Other Organization Name Type Code:
4
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1881696227
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/19/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3880 PARKWOOD BLVD
Provider Second Line Business Mailing Address:
SUITE 303
Provider Business Mailing Address City Name:
FRISCO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75034-1928
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
214-618-7952
Provider Business Mailing Address Fax Number:
214-618-7991

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3880 PARKWOOD BLVD
Provider Second Line Business Practice Location Address:
SUITE 303
Provider Business Practice Location Address City Name:
FRISCO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75034-1928
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-618-7952
Provider Business Practice Location Address Fax Number:
214-618-7991
Provider Enumeration Date:
08/15/2005

Additional Information

Authorized Official

Authorized Official Last Name:
LOPEZ
Authorized Official First Name:
CHERYL
Authorized Official Middle Name:
PAN
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
214-618-7952

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  K0903 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 45D0939472 . This is a "CLIA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1076462 . This is a "FIRST HEALTH INSURANCE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 527359 . This is a "DESERET MUTUAL INSURANCE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 82610F . This is a "BCBS OF TX" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: P082610FD , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0041BH . This is a "BCBS OF TX (GROUP ID #)" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 5018550 . This is a "AETNA INSURANCE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 21149563445 . This is a "BEECHSTREET INSURANCE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1015218 . This is a "AETNA INSURANCE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 104282 . This is a "HEALTH PARTNERS CLAIM" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 7240640007 . This is a "CIGNA INSURANCE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 147888807 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 2559446 . This is a "HEALTHMARKET INSURANCE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: P000047281 . This is a "NORTHTEXAS HEALTH NETWORK" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com