Individual
TARA DEANNE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCD
Contact information
Practice address
700 MALLOW RD, LEANDER, TX 78641-1506
(512) 769-2263
Mailing address
700 MALLOW RD, LEANDER, TX 78641-1506
(512) 769-2263
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
TX
Other
Enumeration date
12/29/2025
Last updated
12/29/2025
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