Jennifer Knickerbocker Lopez, PHYSICIAN ASSISTANT

Physician assistant in Dallas, Texas · NPI 1356901623

Jennifer Lopez is one of 1,330 physician assistants practicing in Dallas, Texas. Jennifer Lopez practices with Healthtexas Provider Network.

Registry record (NPPES)

NPI
1356901623
Type
Type 1 · Individual
Primary taxonomy
Physician Assistant · 363A00000X
Address on file
5702 Saintsbury Dr Apt 123
The Colony, TX 75056-5488
(316) 558-2341
Enumerated
Jun 18, 2019
Record last updated
Jul 12, 2023

Medicare (CMS)

Enrollment
Medicare-enrolled in TX
Physician Assistant
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

More physician assistants in Dallas

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.