Individual
LINO LOPEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
4444 CORONA DR STE 131, CORPUS CHRISTI, TX 78411-4321
(361) 645-7999
Mailing address
2044 S CLACK ST APT 544, ABILENE, TX 79606-1395
(361) 687-5108
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1031692
TX
Other
Enumeration date
04/02/2021
Last updated
04/02/2021
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