Individual
FRANK LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4825 OVERTON RIDGE BLVD STE 316, FORT WORTH, TX 76132-1425
(682) 312-0444
Mailing address
10005 LEXINGTON DR, PROVIDENCE VILLAGE, TX 76227-8576
(940) 367-7157
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
14354
TX
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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