P Praxis·MD
● Active Type 1 · Individual

MISS Nicole Teretha Lopez, PA

Physician Assistant·Jbsa Ft Sam Houston, TX· NPI 1669628111 · Enumerated 2008 · 17 years on NPI
Lopez is 1 of 3 physician assistant providers in Jbsa Ft Sam Houston and 1 of 2220 in Texas.
NPI age
17 years
Enumerated 2008-08-15
Primary specialty
Physician Assistant
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-04-18
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 2220 active physician assistant providers in Texas.

NPI age
17 years
↑ 2 yr above median (15 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
20% of peers hold subspecialties

NPI lifetime · 2008 → 2026

2008-08Enumerated in NPPES
2008 2026

Where they practice

Practice location
3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 782344504
📞 2109168764
Mailing address
3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 782344504
📞 2109168764

Specialties

  • Physician Assistant Primary
    Definition to come...
    TX license #PA06960 taxonomy 363AM0700X

Practice context

Part of a multi-provider practice. 623 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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