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Organization
BIANCA LOPEZ, LLC
Active
Organization
BIANCA LOPEZ, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BIANCA LOPEZ NP (CEO)
(915) 383-0277
Entity
Organization
Contact information
Practice address
11860 VISTA DEL SOL DR STE 107, EL PASO, TX 79936-6128
(915) 233-6200
(915) 621-1339
Mailing address
1605 GEORGE DIETER DR STE 636, EL PASO, TX 79936-5692
(915) 671-1371
(915) 219-9022
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/17/2019
Last updated
05/10/2024
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