Organization
MARJORIE F. LOPEZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARJORIE FLORES LOPEZ (OWNER)
(210) 923-9992
Entity
Organization
Contact information
Practice address
1900 PLEASANTON RD STE 2, SAN ANTONIO, TX 78221-1252
(210) 923-9992
(210) 695-9015
Mailing address
1900 PLEASANTON RD STE 2, SAN ANTONIO, TX 78221-1252
(210) 923-9992
(210) 695-9015
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0064164
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163533602
—
TX
Enumeration date
03/19/2007
Last updated
04/04/2011
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