JOSE CARLOS LOPEZ (NPI# 1669908018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669908018 |
| Entity Type | Individual |
| Full Name | JOSE CARLOS LOPEZ |
| Credential | ATP |
| Practice Address |
12406 State Highway 155 S Tyler TX 75703-6446 |
| Mailing Address |
12406 Sh 155 South Tyler TX 75703 |
| Practice Telephone | 9035926760 |
| Mailing Telephone | 9035926760 |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2017-05-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | ATP88042 | TX | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104446152 | Jose A. Lopez | Counselor | 7426 Lake Maggorie Dr, Corpus Christi, TX 78413-5266 | 2020-04-20 |
| 1841825635 | Jose Carlos Lopez | Nurse Anesthetist, Certified Registered | 42369 Calle Arca De Noe, Quebradillas, PR 00678-9495 | 2020-03-11 |
| 1841823358 | Jose Antonio Lopez | Technician | 5743 Forsythe Dr, Las Vegas, NV 89142-2647 | 2020-02-13 |
| 1619495496 | Jose Jesus Lopez | Psychologist | 8727 Forest Hills Blvd, Dallas, TX 75218-4026 | 2017-08-31 |
| 1861845315 | Jose Lopez | Specialist/Technologist | 17993 Petersen Way, Castro Valley, CA 94546-1143 | 2016-07-20 |
| 1457707622 | Jose A. Lopez | Emergency Medical Technician, Paramedic | Hc 4 Box 18442, Camuy, PR 00627-9517 | 2016-05-06 |
| 1548650872 | Jose Daniel Lopez | Physician Assistant | 7919 Abbotts Pointe, San Antonio, TX 78254 | 2015-01-26 |
| 1821499948 | Jose Luis Lopez Jr. | Social Worker | 12968 Frederick St Ste D, Moreno Valley, CA 92553-5229 | 2014-09-08 |
| 1598196362 | Jose Alberto Lopez | Licensed Vocational Nurse | 1201 S Sullivan St, Santa Ana, CA 92704-3143 | 2013-12-04 |
| 1922349968 | Jose Israel Lopez | Military Health Care Provider | Mdsu-1 Bishop Point, Building 17, Pearl Harbor, HI 96860 | 2013-03-14 |
| Street Address |
12406 STATE HIGHWAY 155 S |
| City | TYLER |
| State | TX |
| Zip Code | 75703-6446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497707533 | Access2mobility, Inc | Durable Medical Equipment & Medical Supplies | 12406 State Highway 155 S, Tyler, TX 75703-6446 | 2006-05-17 |
| 1922480326 | Michael Shannon | Technician, Other | 12406 State Highway 155 S, Tyler, TX 75703-6446 | 2015-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174155477 | Choice Supportive Care Team Inc. | Family Medicine | 4293 Kinsey Drive, Tyler, TX 75703 | 2020-02-05 |
| 1770052532 | Refinery Chiropractic LLC | Chiropractor | 16637 Old Jacksonville Hwy, Suite D, Tyler, TX 75703 | 2018-11-21 |
| 1215419353 | Deidre Lynn Fergason | Occupational Therapy Assistant | 3505 Old Jacksonville Hwy, Tyler, TX 75703 | 2018-09-05 |
| 1710473681 | Justin Taylor Ross | Dentist | 8938 S Broadway Ave Ste 380, Tyler, TX 75703 | 2018-07-03 |
| 1457843450 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 8938 South Broadway, Ste 480, Tyler, TX 75703 | 2018-06-05 |
| 1083106462 | Integrity Health | Internal Medicine | 5605 Old Bullard Rd Ste B, Tyler, TX 75703 | 2018-06-01 |
| 1427572544 | Cody Wayne Graham | Pharmacist | 5415 S. Broadway Ave., Tyler, TX 75703 | 2017-07-31 |
| 1750805941 | Roger Bryan Chapman | Nurse Practitioner | 6115 New Copeland Rd, Tyler, TX 75703 | 2017-07-28 |
| 1427570084 | Darah Lynne Dahlem | Speech-Language Pathologist | 401 E. Front Street Ste 123, Tyler, TX 75703 | 2017-07-14 |
| 1194267468 | Herman Lester Hampton Jr. | Surgery | 5803 Regents Row, Tyler, TX 75703 | 2016-11-17 |
| Find all providers in zip 75703 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245857580 | Tara Latonya Cooper | Technician, Other | 1743 Troup Hwy, Tyler, TX 75701-5869 | 2020-07-02 |
| 1689923443 | Justin A Schutz | Technician, Other | 2811 Robertson Rd, Tyler, TX 75701-2524 | 2012-09-07 |
| 1013266758 | Seth Vaughan Burton | Technician, Other | 13213 Hwy 155 S Ste B, Tyler, TX 75703-6561 | 2012-09-07 |
| 1447227723 | Linka Suzanne Malmin | Technician, Other | 15601 Wood Ln, Tyler, TX 75707-6943 | 2006-03-04 |
| 1922480326 | Michael Shannon | Technician, Other | 12406 State Highway 155 S, Tyler, TX 75703-6446 | 2015-06-22 |
| 1528321007 | Jason Cypert | Technician, Other | 13213 Hwy 155 S, Tyler, TX 75703-6561 | 2012-06-20 |
| 1871889048 | Ray Bockover | Technician, Other | 13213 Hwy 155 S, Suite B, Tyler, TX 75703-6561 | 2011-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174120083 | Pablo Gonzales IIi | Technician, Other | 10114 Stella Link Rd Ste A-2, Houston, TX 77025-5300 | 2020-10-04 |
| 1477160315 | Kaili Kennedy | Technician, Other | 66 Daughtrey Ave Apt 516, Waco, TX 76706-1677 | 2020-09-24 |
| 1194338673 | Porscha Williams | Technician, Other | 2520 Echo Point Dr, Fort Worth, TX 76123-1136 | 2020-08-25 |
| 1295351914 | Richard Allen Majors | Technician, Other | 6429 Green Ridge Dr, Watauga, TX 76148-1414 | 2020-06-18 |
| 1740824804 | Sara Wolfe | Technician, Other | 4245 N Central Expy Ste 450, Dallas, TX 75205-4530 | 2019-11-01 |
| 1265075048 | Juliana Dubey | Technician, Other | 400 E. Royal Ln, Building 3, Suite 290, Irving, TX 75039 | 2019-10-23 |
| 1154963007 | Alex Robert Langford | Technician, Other | 1901 N. Glenville Dr., Suite 501, Richardson, TX 75081 | 2019-10-11 |
| 1518517762 | Clayton Ernest Robertson | Technician, Other | 5555 N Lamar Blvd Ste D113, Austin, TX 78751-1075 | 2019-09-18 |
| 1013561778 | Joslyn Love | Technician, Other | 1228 Timber Ln, Frisco, TX 75036-1743 | 2019-07-30 |
| 1497309165 | Erin Elizabeth Daugherty | Technician, Other | 5702 Timbergate Dr Apt 224, Corpus Christi, TX 78414-3180 | 2019-07-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.