Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | P9087 | TX |
Y | 2081P2900X | Pain Medicine | P9087 | TX |
NPI | 1346556784 |
---|---|
Provider Name | Dr. Edrick Eugenio Lopez |
First Address | El Paso, TX 79903-4225 |
Second Address | Frisco, TX 75034-8688 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2010 |
Last Update Date | 03/08/2020 |