# ELEAZAR LOPEZ

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Western Alliance Mobility
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114191483
- **Authorized official:** MR. ELEAZAR LOPEZ (OWNER)
- **Authorized official phone:** (956) 488-9616

## Contact information

- **Practice address:** 1205 W MAIN ST STE 3, RIO GRANDE CITY, TX 78582-4017
- **Practice address phone:** (956) 488-9616
- **Practice address fax:** (956) 488-0572
- **Mailing address:** 1205 W MAIN ST STE 3, RIO GRANDE CITY, TX 78582-4017
- **Mailing address phone:** (956) 488-9616
- **Mailing address fax:** (956) 488-0572

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0086743 | TX | Yes |

## Other

- **Enumeration date:** 04/17/2008
- **Last updated:** 06/20/2008