Paola Larios Lopez in Mission - Physician Assistant
Paola Larios Lopez - NPI 1922100155
Paola Larios Lopez is a Physician Assistant in Mission, Texas. Paola Larios Lopez practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Paola Larios Lopez is 1922100155. The last update date is 2012-03-19.
Paola Larios Lopez's current location address is 1116 Sunrise Ln, Mission, Texas. You can contact this provider via phone number 9563699209 and fax number 9569680481. The mailing address for Paola Larios Lopez is 1116 Sunrise Ln, Mission, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paola Larios Lopez |
|---|---|
| Address | 1116 Sunrise Ln, Mission, Texas |
| Phone Number | 9563699209 |
| Fax Number | 9569680481 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1922100155 |
|---|---|
| Provider Enumeration Date | 2006-09-01 |
| Last Updated Date | 2012-03-19 |
Provider Mailing Address Detail
| Address | 1116 Sunrise Ln |
|---|---|
| City | Mission |
| State | Texas (TX) |
| Post Code | 785743679 |
| Phone Number | 9563699209 |
| Fax Number | 9569680481 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA04238 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA04238 | TX | PA LIC. |
Post Comment/ Review Below
Could you please provide the complete physical location address of Paola Larios Lopez?
The Paola Larios Lopez is physically situated at 1116 Sunrise Ln, in the city of Mission, state of TX, with the postal code 785743679.
When was the Paola Larios Lopez's 1922100155 issued?
The Paola Larios Lopez's 1922100155 was issued on 2006-09-01.
On what date did the Centers for Medicare & Medicaid Services issue the 1922100155 to Paola Larios Lopez?
The Paola Larios Lopez received its 1922100155 assignment from the Centers for Medicare & Medicaid Services on 2006-09-01.
When was the Paola Larios Lopez's information last updated?
The Paola Larios Lopez's information was last updated on 2012-03-19.
When was the information pertaining to Paola Larios Lopez most recently updated or revised?
The details related to Paola Larios Lopez, including its address, specialty, and other relevant information, were last updated or revised on 2012-03-19.
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