Individual
LIEZELLE CHUA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1102 BATES AVE STE 1860, HOUSTON, TX 77030-2633
(832) 824-5447
(832) 825-0341
Mailing address
1102 BATES AVE STE 1860, HOUSTON, TX 77030-2698
(832) 824-5447
(832) 825-0341
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35.150558
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2021
Last updated
06/16/2025
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