Individual
JORGE I LOPEZ-RAMOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSA
Contact information
Practice address
1007 HIGH LANE CT, CONROE, TX 77301-1897
(936) 689-3367
Mailing address
1007 HIGH LANE CT, CONROE, TX 77301-1897
(936) 689-3367
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
SA00484
TX
Other
Enumeration date
09/24/2013
Last updated
07/15/2014
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