Individual
MAYRA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4639 CORONA DR STE 41, CORPUS CHRISTI, TX 78411-5426
(361) 204-3097
Mailing address
3706 LIBERTY BLVD, PENITAS, TX 78576-2001
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
36745
TX
2355S0801X
Speech-Language Assistant
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Other
Enumeration date
08/25/2017
Last updated
11/12/2025
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