Individual
PRISCILA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 MATLOCK RD STE 201, MANSFIELD, TX 76063-6889
(817) 539-9091
(817) 539-9553
Mailing address
350 MATLOCK RD STE 201, MANSFIELD, TX 76063-6889
(817) 539-9091
(817) 539-9553
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
W4534
TX
207RI0200X
Infectious Disease Physician
Primary
W4534
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2021
Last updated
06/18/2026
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