Individual
LEOBARDO RUBEN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1717 NORFOLK AVE, LUBBOCK, TX 79416-6099
(806) 281-6000
Mailing address
3007 46TH ST, LUBBOCK, TX 79413-3517
(806) 942-9382
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2178306
TX
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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