Provider Demographics
NPI:1235937350
Name:LOPEZ, ESMERALDA (DC)
Entity type:Individual
Prefix:
First Name:ESMERALDA
Middle Name:
Last Name:LOPEZ
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1911 SUNDROP BAY
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78224-2270
Mailing Address - Country:US
Mailing Address - Phone:210-388-6519
Mailing Address - Fax:
Practice Address - Street 1:1996 SCHERTZ PKWY STE 502
Practice Address - Street 2:
Practice Address - City:SCHERTZ
Practice Address - State:TX
Practice Address - Zip Code:78154-1681
Practice Address - Country:US
Practice Address - Phone:210-960-9000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16404111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty