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

Miss. Nicole Teretha Lopez, PA

Individual provider Medical Physician Assistant · NPI 1669628111

Miss. Nicole Teretha Lopez, PA is a Medical Physician Assistant in Jbsa Ft Sam Houston, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 78234-4504
Phone: (210) 916-8764
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA06960 (TX)

Record details

NPI number1669628111
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedAugust 15, 2008
Last updated in NPPESApril 18, 2018

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