Individual
MR. MARIO A. LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
15600 SAN PEDRO AVE, SUITE 307, SAN ANTONIO, TX 78232-3740
(800) 437-7560
Mailing address
902 S LOOP 499 APT U2, HARLINGEN, TX 78550-2503
(956) 534-4530
(210) 534-4537
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2046969
TX
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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