Individual
DANIELLE PURCELL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2332 BEVERLY HILLS DR, FORT WORTH, TX 76114-1756
(817) 378-0855
(817) 378-0861
Mailing address
2332 BEVERLY HILLS DR, FORT WORTH, TX 76114-1756
(817) 378-0855
(817) 378-0861
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10899
TX
Other
Enumeration date
12/30/2016
Last updated
03/16/2023
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