Individual
SERGIO J. LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C, MSN,RNFA-CNOR
Contact information
Practice address
7535 SUMMERDALE DR, ROSENBERG, TX 77469-4629
(956) 451-2568
(956) 387-0917
Mailing address
7535 SUMMERDALE DR, ROSENBERG, TX 77469-4629
(956) 451-2568
(956) 387-0917
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
654368
TX
163WR0006X
Registered Nurse First Assistant
654368
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
AP124274
TX
Other
Enumeration date
07/03/2006
Last updated
10/30/2014
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