Individual
LUIS LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
906 S JAMES ST, WESLACO, TX 78596
(956) 969-2222
Mailing address
1502 EUCALYPTUS ST, WESLACO, TX 78599-3145
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2059346
TX
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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