# BIANCA LOPEZ, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689237380
- **Authorized official:** BIANCA LOPEZ NP (CEO)
- **Authorized official phone:** (915) 383-0277

## Contact information

- **Practice address:** 11860 VISTA DEL SOL DR STE 107, EL PASO, TX 79936-6128
- **Practice address phone:** (915) 233-6200
- **Practice address fax:** (915) 621-1339
- **Mailing address:** 1605 GEORGE DIETER DR STE 636, EL PASO, TX 79936-5692
- **Mailing address phone:** (915) 671-1371
- **Mailing address fax:** (915) 219-9022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/17/2019
- **Last updated:** 05/10/2024
