Individual
KELLY GIPSON LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4620 BELLAIRE BLVD, BELLAIRE, TX 77401-4231
(713) 665-3888
(713) 666-0888
Mailing address
4620 BELLAIRE BLVD, BELLAIRE, TX 77401-4231
(713) 665-3888
(713) 666-0888
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
147194
TX
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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