Individual
JUAN DANIEL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
1105 MEMORIAL DR, SUITE 101, DENISON, TX 75020-2177
(972) 391-4252
(903) 464-0559
Mailing address
1105 MEMORIAL DR, SUITE 101, DENISON, TX 75020-2177
(972) 391-4252
(903) 464-0559
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
190500
TX
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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