Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | FTL 42647 | TX |
Y | 207Q00000X | Family Doctor | N4559 | TX |
N | 207QA0401X | Family Doctor - Addiction Medicine | N4559 | TX |
NPI | 1598990772 |
---|---|
Provider Name | Dr. Francisco G Lopez Godoy |
First Address | Houston, TX 77080-5446 |
Second Address | Houston, TX 77080 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2009 |
Last Update Date | 16/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1063917896 | PANAMERICANA FAMILY MEDICINE CLINIC (01) | TX |
203288001 | (05) | TX |
203288002 | CSHCN (01) | TX |