Individual
ALEXANDER LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9807 KERRVILLE ST, SAN ANTONIO, TX 78251-4303
(210) 685-0900
Mailing address
9807 KERRVILLE ST, SAN ANTONIO, TX 78251-4303
(210) 685-0900
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
344250
TX
Other
Enumeration date
04/04/2019
Last updated
04/04/2019
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