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Individual

DR. ANGEL LUIS LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
910 W NORTHSIDE DR, FORT WORTH, TX 76106-9046
(817) 625-1103
(817) 625-7425
Mailing address
910 W NORTHSIDE DR, FORT WORTH, TX 76106-9046
(817) 625-1103
(817) 625-7425

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0560
TX

Other

Enumeration date
10/11/2006
Last updated
07/08/2007
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