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Individual
MR. MARK ERWIN SANTOS LOPEZ
Active
Individual
MR. MARK ERWIN SANTOS LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, APRN, PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
763720
TX
163W00000X
Registered Nurse
95119878
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95006452
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP126629
TX
Other
Enumeration date
10/17/2014
Last updated
04/14/2023
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