Individual
MARTHA LOPEZ DAVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
701 PALM VALLEY DR E, HARLINGEN, TX 78552-9027
(956) 579-8899
Mailing address
701 PALM VALLEY DR E, HARLINGEN, TX 78552-9027
(956) 579-8899
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000
—
TX
Enumeration date
09/18/2020
Last updated
10/01/2021
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