Niyousha Lopez Mena is one of 69 nurse practitioners practicing in Southlake, Texas .
Niyousha Lopez Mena practices with Total MD Physicians Group, PLLC.
Registry record (NPPES)
NPI
1083507057
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Family · 363LF0000X
Address on file
906 W McDermott Dr
Enumerated
May 29, 2025
Record last updated
Sep 25, 2026
License states listed
AL, GA, NM, TN, TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXNurse Practitioner
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
2175 E Southlake Blvd Suite 120Southlake , TX 76092
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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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