Individual
JOSE LUIS LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
408 N FLORES ST UNIT R, RIO GRANDE CITY, TX 78582-3745
(956) 573-8126
Mailing address
124 W ELIZONDO ST, RIO GRANDE CITY, TX 78582-4218
(956) 573-8126
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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