P Praxis·MD
● Active Type 1 · Individual

Jose Carlos Lopez, ATP

Technician, Other·Tyler, TX· NPI 1669908018 · Enumerated 2017 · 9 years on NPI
Lopez is 1 of 13 technician, other providers in Tyler and 1 of 804 in Texas.
NPI age
9 years
Enumerated 2017-05-04
Primary specialty
Technician, Other
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2017-05-04
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 804 active technician, other providers in Texas.

NPI age
9 years
≈ at median (9 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
9% of peers hold subspecialties

NPI lifetime · 2017 → 2026

2017-05Enumerated in NPPES
2017 2026

Where they practice

Practice location
12406 State Highway 155 S
Tyler, TX 757036446
📞 9035926760
Mailing address
12406 Sh 155 South
Tyler, TX 75703
📞 9035926760

Specialties

  • Technician, Other Primary
    A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed...
    TX license #ATP88042 taxonomy 247200000X

Practice context

Part of a multi-provider practice. 2 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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