Individual
ROMAN LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11351 JAMES WATT DR, EL PASO, TX 79936-6627
(915) 849-6602
Mailing address
13105 KESTREL AVE, HORIZON CITY, TX 79928-6210
(915) 235-5200
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2098176
TX
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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