MISS NICOLE TERETHA LOPEZ PA
NPI 1669628111
Physician Assistant - Medical in Jbsa Ft Sam Houston, TX

Active since August 15, 2008
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234(210) 916-8764 Get Directions Write a Review

NPPES record last updated: April 18, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miss Nicole Teretha Lopez Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS NICOLE TERETHA LOPEZ PA (NPI 1669628111) is an individual medical provider in Jbsa Ft Sam Houston, Texas, licensed in Texas (PA06960) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1669628111
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMISS NICOLE TERETHA LOPEZCredential: PA
Location Address3551 ROGER BROOKE DRJbsa Ft Sam Houston, TX 78234-4504
Mailing Address3551 Roger Brooke DrJbsa Ft Sam Houston, TX 78234-4504 · (210) 916-8764
Sole ProprietorYes
Enumeration DateAugust 15, 2008
Last NPPES UpdateApril 18, 2018
NPI 1669628111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in TX · PA06960
3551 ROGER BROOKE DR, Jbsa Ft Sam Houston, TX 78234

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Physician Assistant
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234
Pediatrics (Pediatric Endocrinology)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Social Worker (Clinical)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Neurological Surgery
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Social Worker (Clinical)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Ophthalmology
3551 ROGER BROOKE DR
JBSA FORT SAM HOUSTON, TX 78234
Emergency Medicine (Emergency Medical Services)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Lopez's NPI number?

The NPI number for Nicole Lopez is 1669628111. It was assigned to this individual provider in the NPPES registry on August 15, 2008.

Where is Nicole Lopez located?

Nicole Lopez practices at 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234. The listed phone number is (210) 916-8764.

What is Nicole Lopez's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Nicole Lopez was last updated on April 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.