Physician Assistant
BRYAN BASULTO LOPEZ CSA
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1922997295 · enumerated 2025-07-01 · record updated 2025-07-01. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 29310 PRAIRIE ROSE CT, KATY, TX, 77494-7384 (305) 335-0089 Google Maps Apple Maps OpenStreetMap
- Practice location 18500 KATY FWY, HOUSTON, TX, 77094-1110 (305) 335-0089 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary · License 24-361 WI
In this directory
Locations and evidence
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Practice location
HOUSTON, TX, 770941110
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.