Individual
RAFAEL A LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
12345 JONES RD STE 102, HOUSTON, TX 77070-4961
(915) 209-1025
Mailing address
12564 GILDED SUN DR, EL PASO, TX 79938-4648
(915) 209-1025
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
16-285
TX
Other
Enumeration date
04/26/2016
Last updated
03/08/2017
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