ALEXIS LOPEZ NPI 1003447350

Student in an Organized Health Care Education/Training Program in Victoria, TX

Individual Male Student in an Organized Health Care Educ...

About ALEXIS LOPEZ

Alexis Lopez is a provider established in Victoria, Texas and his medical specialization is student in an organized health care education/training program. The NPI number of Alexis Lopez is 1003447350 and was assigned on January 2020. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated January 2020.

NPI

1003447350

Provider Name ALEXIS LOPEZ
Provider Location Address405 QUEENSWOOD TRL VICTORIA, TX 77901
Provider Mailing Address405 QUEENSWOOD TRL VICTORIA, TX 77901
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date01-27-2020
Last Update Date01-27-2020

Primary Taxonomy

Taxonomy Code390200000X
ClassificationStudent in an Organized Health Care Education/Training Program
TypeStudent, Health Care
Taxonomy DescriptionAn individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Business Address

ALEXIS LOPEZ
405 QUEENSWOOD TRL
VICTORIA, TX
ZIP 77901
Phone: (361) 550-4234

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Mailing Address

ALEXIS LOPEZ
405 QUEENSWOOD TRL
VICTORIA, TX
ZIP 77901
Phone:

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.