Individual
ALFONSO LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
100 E ALTON GLOOR BLVD, BROWNSVILLE, TX 78526-3328
(956) 350-7000
Mailing address
6661 TALLOWOOD CIR, BROWNSVILLE, TX 78521-7031
(956) 525-9582
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1014400
TX
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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