Individual
MR. JAIME M LOPEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CST, CSFA, RN
Contact information
Practice address
5217 CANADIAN AVE, MIDLAND, TX 79707-3103
(432) 638-2269
Mailing address
5217 CANADIAN AVE, MIDLAND, TX 79707-3103
(432) 638-2269
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
105233
TX
246ZS0410X
Surgical Technologist
Primary
105233
TX
Other
Enumeration date
07/20/2007
Last updated
07/13/2026
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