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LOPEZ SEPULVEDA PRIMARY CARE PLLC NPI 1447795729


NPI Information

NPI: 1447795729
Provider Name: LOPEZ SEPULVEDA PRIMARY CARE PLLC

Doing Business As: CLINICA TU SALUD

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 45D2137147

Address:
245 E GRAUWYLER RD
SUITE 122
IRVING, TX
ZIP 75061
Phone: (972) 887-3235
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LOPEZ SEPULVEDA PRIMARY CARE PLLC is a family medicine in Irving, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LOPEZ SEPULVEDA PRIMARY CARE PLLC NPI is 1447795729. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Clinica Tu Salud.

The provider's business location address is:

245 E GRAUWYLER RD
SUITE 122
IRVING, TX
ZIP 75061-639
Phone: (972) 887-3235
Fax: (972) 887-3197

The provider's authorized official is Jaxel Lopez Sepulveda .
The authorized official title is Physician/owner and has the following contact phone number (972) 887-3235.

The CLIA number assigned to this NPI record is 45D2137147 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/22/2016 and was last updated on 11/14/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineQ5020TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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