Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bryan Basulto Lopez, CSA

Individual provider Physician Assistant · NPI 1922997295

Bryan Basulto Lopez, CSA is a Physician Assistant in Houston, Texas. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2025

Practice location Address checks out

18500 Katy Fwy
Houston, TX 77094-1110
Phone: (305) 335-0089
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 24-361 (WI)

Record details

NPI number1922997295
Entity typeIndividual (Type 1)
GenderMale
Credentials CSA
Sole proprietorYes
NPI enumeratedJuly 1, 2025
Last updated in NPPESJuly 1, 2025
Certification dateJuly 1, 2025
Mailing address29310 Prairie Rose Ct, Katy, TX 77494-7384

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