Individual provider · Type 1 NPI

Bryan Basulto Lopez, CSA

Physician Assistant · Houston, TX

NPI number 1922997295 Active

Practice location

18500 Katy Fwy
Houston, TX 77094-1110

Call (305) 335-0089 Map

Mailing address

29310 Prairie Rose Ct
Katy, TX 77494-7384

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X24-361 (WI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1922997295

Bryan Basulto Lopez, CSA's National Provider Identifier is 1922997295, issued on Jul 1, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Houston, TX. The record was last updated on Jul 1, 2025.