Individual
MARGIE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
1650 W ROSEDALE ST STE 200, FORT WORTH, TX 76104-7426
(469) 333-1543
Mailing address
1650 W ROSEDALE ST STE 200, FORT WORTH, TX 76104-7426
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1196927
TX
363LP2300X
Primary Care Nurse Practitioner
1196927
TX
Other
Enumeration date
07/11/2025
Last updated
07/11/2025
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