Individual
JESUS LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDN
Contact information
Practice address
3724 JEFFERSON ST, AUSTIN, TX 78731-6225
(512) 693-7045
Mailing address
3724 JEFFERSON ST, AUSTIN, TX 78731-6225
(512) 693-7045
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD007769
GA
Other
Enumeration date
12/31/2025
Last updated
12/31/2025
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