Individual
ANA PAULA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9804 CANTERA CT UNIT 46, LAREDO, TX 78045-8565
(956) 269-1094
Mailing address
9804 CANTERA CT UNIT 46, LAREDO, TX 78045-8565
(956) 269-1094
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZGP842786453
BLUE CROSS BLUESHIELD
—
Enumeration date
11/28/2021
Last updated
11/28/2021
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