Individual
EFRAIN ESTEVEZ LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
85 NE LOOP 410 STE 130, SAN ANTONIO, TX 78216-5862
(210) 298-5100
Mailing address
11245 SIR WINSTON ST APT 308, SAN ANTONIO, TX 78216-2459
(210) 577-1164
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
29108765
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
531201142
—
TX
Enumeration date
07/18/2012
Last updated
07/18/2012
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