Individual
ETHAN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1030 BENSDALE RD, PLEASANTON, TX 78064-2037
(830) 569-6615
(830) 569-6714
Mailing address
1030 BENSDALE RD, PLEASANTON, TX 78064-2037
(830) 569-6615
(830) 569-6714
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R9644
TX
Other
Enumeration date
04/07/2017
Last updated
07/22/2020
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