Individual
JONATHAN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSAT, LAT
Contact information
Practice address
863 ALTO BONITO CT, GODLEY, TX 76044-3701
(817) 909-4485
Mailing address
863 ALTO BONITO CT, GODLEY, TX 76044-3701
(817) 909-4485
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT10152
TX
Other
Enumeration date
06/15/2023
Last updated
07/27/2025
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