Individual
NORMA T LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
7019 W VILLAGE BLVD STE 205, LAREDO, TX 78041-2297
(956) 712-4700
(956) 712-4646
Mailing address
1506 BEXAR CROSSING ST, SAN ANTONIO, TX 78232-1587
(210) 832-5000
(210) 832-5005
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
39070
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178628701
—
TX
Enumeration date
11/16/2006
Last updated
11/18/2019
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