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Individual

MARCO ANTONIO LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
18601 LYNDON B JOHNSON FWY STE 116, MESQUITE, TX 75150-5629
(972) 270-2277
Mailing address
1706 SURREY CIR, GRAND PRAIRIE, TX 75050-6325
(469) 951-4105

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1388469
TX

Other

Enumeration date
02/15/2024
Last updated
02/15/2024
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