Individual
EDITH LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 E EXPRESSWAY 83, PHARR, TX 78577-6547
(956) 283-1399
(956) 283-1359
Mailing address
205 E EXPRESSWAY 83, PHARR, TX 78577-6547
(956) 283-1399
(956) 283-1359
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0106920
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0106920
TEXAS HEALTH DEPARTMENT
TX
Enumeration date
10/15/2008
Last updated
05/24/2010
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