Individual
DIANA LAURA RINCON LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8403 MESA DR, AUSTIN, TX 78759-8117
(512) 350-5029
Mailing address
8403 MESA DR, AUSTIN, TX 78759-8117
(512) 350-5029
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
—
TX
2255A2300X
Athletic Trainer
Primary
AT10130
TX
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/08/2024
Last updated
04/30/2026
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