Individual
RICARDO LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(956) 451-6875
Mailing address
2924 LUCAS DR APT 4082, DALLAS, TX 75219-5684
(956) 451-6875
Taxonomy
Speciality
Code
Description
License number
State
133VN1301X
Oncology Nutrition Registered Dietitian
Primary
DT82741
TX
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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