Individual
BIANCA E LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
1200 BROOKLYN AVE STE 320, SAN ANTONIO, TX 78212-4810
(210) 229-7242
(210) 227-5092
Mailing address
3066 E COMMERCE ST, SAN ANTONIO, TX 78220-1013
(210) 227-5092
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP142726
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
AP142726
TX
Other
Enumeration date
08/22/2019
Last updated
05/24/2024
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