Individual
THELMA LOPEZ-LIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4525 S STAPLES ST, CORPUS CHRISTI, TX 78411-2603
(361) 980-1201
(361) 980-1401
Mailing address
PO BOX 271402, CORPUS CHRISTI, TX 78427
(361) 980-1201
(361) 980-1401
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
K0115
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0061BK
BCBS OF TX
TX
05
—
096778802
—
TX
Enumeration date
02/24/2006
Last updated
10/29/2013
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