Individual
MS. TANIA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 RANCH TRL, IRVING, TX 75063-7353
(972) 831-0220
Mailing address
703 WALNUT BEND DR, MANSFIELD, TX 76063-5891
(817) 602-1147
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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