Individual
ANTONIO LOPEZ-DE-ALDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3000 N IH 35 STE 700, AUSTIN, TX 78705-1852
(512) 807-3150
Mailing address
3000 N IH 35 STE 700, AUSTIN, TX 78705-1852
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA17089
TX
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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