1326659780 NPI number — GABRIELA ARELY SANDOVAL LOPEZ PA

Table of content: GABRIELA ARELY SANDOVAL LOPEZ PA (NPI 1326659780)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326659780 NPI number — GABRIELA ARELY SANDOVAL LOPEZ PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SANDOVAL LOPEZ
Provider First Name:
GABRIELA
Provider Middle Name:
ARELY
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SANDOVAL
Provider Other First Name:
GABY
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1326659780
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/04/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
120 BRENTWOOD COMMONS WAY STE 510
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BRENTWOOD
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37027-2028
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-377-5602
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
915 E MARKET AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SEARCY
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72149-5615
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
501-279-5642
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/11/2020

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363A00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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