Individual
MS. DORA VENESSA LOPEZ I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
13800 EASTLAKE BLVD STE 400, HORIZON CITY, TX 79928-7389
(915) 577-1134
Mailing address
14470 HORIZON BLVD, HORIZON CITY, TX 79928-7695
(915) 852-3225
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F11200601
TX
Other
Enumeration date
12/14/2020
Last updated
08/29/2025
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