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Organization

SALVADOR LOPEZ JR PHD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SALVADOR LOPEZ JR. PHD (DIRECTOR)
(210) 413-9779
Entity
Organization

Contact information

Practice address
7201 BROADWAY ST, SUITE 218, SAN ANTONIO, TX 78209-3773
(210) 413-9779
(210) 239-6868
Mailing address
7201 BROADWAY ST, SUITE 218, SAN ANTONIO, TX 78209-3773
(210) 413-9779
(210) 239-6868

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
22593
TX

Other

Enumeration date
04/26/2013
Last updated
07/28/2015
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