Individual
OPHELIA LOPEZ FERNANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3533 SOUTH ALAMEDA STREET, CORPUS CHRISTI, TX 78411
(361) 694-5000
Mailing address
6710 SAMBA DRIVE, CORPUS CHRISTI, TX 78414
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP134818
TX
363LF0000X
Family Nurse Practitioner
AP134818
TX
Other
Enumeration date
09/04/2017
Last updated
01/20/2020
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