Individual
SARAH MARIE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4702 TIARA LN, CORPUS CHRISTI, TX 78415-2174
(361) 694-2662
Mailing address
4702 TIARA LN, CORPUS CHRISTI, TX 78415-2174
(361) 694-2662
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F02210061
TX
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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