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Individual
GLADYS LOPEZ
Active
Individual
GLADYS LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
BP10067054
TX
207Q00000X
Family Medicine Physician
Primary
T4967
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP10067054
TEXAS MEDICAL BOARD
TX
Enumeration date
04/25/2019
Last updated
10/07/2022
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