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Individual

CAITLYN NICOLE LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6301 S STADIUM LN, KATY, TX 77494-1057
(281) 237-6647
(281) 644-1846
Mailing address
6301 S STADIUM LN, KATY, TX 77494-1057
(281) 237-6647
(281) 644-1846

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
21-0035
TEXAS EARLY CHILDHOOD INTERVENTION
TX
Enumeration date
01/21/2021
Last updated
01/21/2021
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