Individual
MR. CHARLES RUBEN LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, CCC/SLP
Contact information
Practice address
1518 QUAMASIA AVE, MCALLEN, TX 78504-3798
(956) 631-9520
Mailing address
1518 QUAMASIA AVE, MCALLEN, TX 78504-3798
(956) 631-9520
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15404
TX
Other
Enumeration date
06/20/2008
Last updated
06/20/2008
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