EVA J LOPEZ MD PA
Osteopathic Medicine at Medical Dr, San Antonio, TX

License number
Texas H4499
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: EVA J LOPEZ M.D., P.A
Title: PRESIDENT
Phone: (210) 690-5515
Address
Address
4499 Medical Dr, San Antonio, TX 78229
National Provider ID: 1619113883
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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EVA J. LOPEZ, M.D., PA

San Antonio, TX  -  Grey Forest, TX

Doing business as:
Be Well 365<br>Eva J. Lopez, M.D., PA
Registration:
Jun 13, 2002
Addresses:
3603 Paesanos Pkwy STE 202, San Antonio, TX 78231 (Mailing)
19215 Scenic Loop Rd, Grey Forest, TX 78023
State ID:
0800093415
Business type:
Professional Association
Director, Secretary, Member, President:
Eva J. Lopez (Director, Secretary, Member, President)
Agent:
Eva Lopez,3603 Paesanos Pkwy, San Antonio, TX 78231 (Physical)
TIN:
32035889081

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