| Dr Leticia L Lopez, MD | |
| 
					1706 Treasure Hills Blvd, Harlingen, TX 78550-8911  | |
| (956) 365-6750 | |
| (956) 365-6779 | 
| Full Name | Dr Leticia L Lopez | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 1706 Treasure Hills Blvd, Harlingen, Texas | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1790798809 | NPI | - | NPPES | 
| 105526102 | Medicaid | TX | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | J7811 (Texas) | Primary | 
| Entity Name | Su Clinica Familiar | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1285643304 PECOS PAC ID: 5496663429 Enrollment ID: O20040121001155  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Leticia L Lopez, MD 1706 Treasure Hills Blvd, Harlingen, TX 78550-8911 Ph: (956) 365-6750  | Dr Leticia L Lopez, MD 1706 Treasure Hills Blvd, Harlingen, TX 78550-8911 Ph: (956) 365-6750  | 
Christian Gonzalez,  Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2101 Pease St, Harlingen, TX 78550 Phone: 956-421-2414  | |
Dr. Eleonor Ignacio Cajita, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 321 S 21st St, Harlingen, TX 78550 Phone: 956-425-8761 Fax: 956-425-9207  | |
Alicia Gonzalez, FNP-C Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 321 S 21st St, Harlingen, TX 78550 Phone: 956-425-8761  | |
Rafael Villalobos, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2121 Pease St, Ste 207, Harlingen, TX 78550 Phone: 956-350-2660 Fax: 956-350-0505  | |
Luis Pablo Lee, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2101 Pease St, Harlingen, TX 78550 Phone: 956-389-1100  | |
Dr. Syed K Shah, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1502 Midlane Dr, Harlingen, TX 78552 Phone: 956-230-6320 Fax: 956-230-6321  | |
Fernando Garcia, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 201 E Jackson St, Harlingen, TX 78550 Phone: 956-421-4935 Fax: 855-520-7581  |