Individual
JORGE ALBERTO LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMI
Contact information
Practice address
123 EAST ST, LIBERTY, TX 77575-6101
(936) 641-4190
Mailing address
123 EAST ST, LIBERTY, TX 77575-6101
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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