Individual
AMANDA MARIE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
11450 GATEWAY BLVD N STE 2100, EL PASO, TX 79934-3461
(915) 313-4443
(915) 313-4468
Mailing address
7878 GATEWAY BLVD E STE 402, EL PASO, TX 79915-1802
(915) 313-4443
(915) 313-4468
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA12441
TX
Other
Enumeration date
11/30/2018
Last updated
08/21/2025
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