Individual
NEFTALI LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6125 E BELKNAP ST, HALTOM CITY, TX 76117-4204
(817) 547-5700
Mailing address
4124 FAIRLANE AVE, FORT WORTH, TX 76119-5092
(682) 888-4594
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
40767
TX
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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