Individual
JOHN PAUL LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4812 MARYANNES MEADOW DR, FORT WORTH, TX 76135-1645
(682) 558-5034
Mailing address
4812 MARYANNES MEADOW DR, FORT WORTH, TX 76135-1645
(682) 558-5034
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT131381
TX
Other
Enumeration date
02/25/2021
Last updated
02/25/2021
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