Search › Texas › 122300000X
Juan Lopez
NPI 1750078960 · on the registry since 2023 · sole proprietor
Practice
- Address
- 2414 Gilmer Rd Ste Longview
Longview, TX 75604 - Phone
- (903) 242-8594
- Organisation at this address
- East Tx Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas