LOPEZ SEPULVEDA PRIMARY CARE PLLC (NPI# 1447795729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447795729 |
| Entity Type | Organization |
| Organization Name | LOPEZ SEPULVEDA PRIMARY CARE PLLC |
| Other Organization Name | CLINICA TU SALUD |
| Practice Address |
245 E Grauwyler Rd Suite 122 Irving TX 75061-2639 |
| Mailing Address |
245 E Grauwyler Rd Ste 122 Irving TX 75061-2639 |
| Practice Telephone | 9728873235 |
| Practice Fax Number | 9728873197 |
| Mailing Telephone | 9728873235 |
| Mailing Fax Number | 9728873197 |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2018-01-23 |
| Authorized Official Name | JAXEL LOPEZ SEPULVEDA (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 9728873235 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Q5020 | TX | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 5020 | TX | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Clinica tu Salud | Doing Business As Name - Organization |
| Street Address |
245 E GRAUWYLER RD SUITE 122 |
| City | IRVING |
| State | TX |
| Zip Code | 75061-2639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821433236 | Adam Lowell Hamill | Pediatrics | 245 E Grauwyler Rd, Ste 122, Irving, TX 75061-2639 | 2013-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265925192 | Health Texas Provider Network | Durable Medical Equipment & Medical Supplies | 2021 N Macarthur Blvd Ste 300, Irving, TX 75061 | 2018-06-14 |
| 1356864722 | Candace Leann Mullens | Physician Assistant | 2005 West Park Dr., Ste. 100, Irving, TX 75061 | 2017-07-18 |
| 1922489541 | Azmat Shah | Clinical Medical Laboratory | 813 N. O'connor Road, Irving, TX 75061 | 2015-06-10 |
| 1689060261 | James Justin Walker | Specialist/Technologist | 900 O'connor Road, Irving, TX 75061 | 2015-04-10 |
| 1790171379 | Casey Elder | Specialist/Technologist | 900 North O'connor, Irving, TX 75061 | 2015-04-10 |
| 1720479900 | Jack C Lewis Jr. | Counselor | 4120 Hackmore Loop, Irving, TX 75061 | 2015-02-10 |
| 1972931186 | Linda Kottoor | Nurse Practitioner | 1800 North Britain Road, Irving, TX 75061 | 2013-10-24 |
| 1033457080 | Edel H Cruz Rosales | Hearing Instrument Specialist | 613 North O'connor Rd, Suite 29, Irving, TX 75061 | 2013-01-26 |
| 1346520293 | Tau Healing Services | Counselor | 1615 Cooper Dr., Irving, TX 75061 | 2011-08-24 |
| 1144520412 | Gibson Pharmacy | Pharmacy | 815 N. Oconnor, Irving, TX 75061 | 2010-11-02 |
| Find all providers in zip 75061 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376198507 | Sanitas Medical Center of Texas Pa | Family Medicine | 3917 West Airport Freeway, Irving, TX 75062 | 2019-08-05 |
| 1144875626 | Sanitas Medical Center of Texas Pa | Family Medicine | 6500 N Macarthur Blvd, Irving, TX 75039-2460 | 2019-08-01 |
| 1639656325 | Open Arms Healthcare of Texas Inc. | Family Medicine | 1200 W Walnut Hill Ln Ste 3950, Irving, TX 75038-3459 | 2018-07-25 |
| 1386097558 | Perfect Care Pllc | Family Medicine | 3200 N Macarthur Blvd Ste 103, Irving, TX 75062-4404 | 2016-07-22 |
| 1285086397 | Edge-md Holding Pllc | Family Medicine | 1200 W. Walnut Hill Lane, Suite 3950, Irving, TX 75038 | 2016-07-13 |
| 1194171074 | A1 Visiting Doctors Inc | Family Medicine | 4370 Annesley Ln, Irving, TX 75062-1735 | 2016-05-10 |
| 1700296209 | Star Convenientcare, Pa | Family Medicine | 4301 N Macarthur Boulevard, #202, Irving, TX 75038-6497 | 2014-05-06 |
| 1104253962 | Mendez Medical Consulting, Pllc | Family Medicine | 825 W Royal Ln, Irving, TX 75039-3601 | 2013-10-10 |
| 1841586179 | Irst Health | Family Medicine | 7200 North State Highway 161, #300, Irving, TX 75039 | 2011-06-24 |
| 1598072563 | Jaxel Lopez Sepulveda | Family Medicine | 245 E Grauwyler Rd Ste 122, Irving, TX 75061-2639 | 2010-09-10 |
| Find all providers in IRVING | ||||
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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.