Individual
CRISTOBAL ISAAC LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4444 CORONA DR, STE. #144, CORPUS CHRISTI, TX 78411-4324
(361) 854-1110
(361) 854-7910
Mailing address
4444 CORONA DR, STE. #144, CORPUS CHRISTI, TX 78411-4324
(361) 854-1110
(361) 854-7910
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2072092
TX
Other
Enumeration date
07/15/2016
Last updated
07/15/2016
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