Individual
OLIVIA JO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 SAINT MICHAEL DR, TEXARKANA, TX 75503-2372
(903) 614-1000
Mailing address
2600 SAINT MICHAEL DR, TEXARKANA, TX 75503-2372
(903) 614-1000
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
228603
OK
367A00000X
Advanced Practice Midwife
Primary
1244430
TX
Other
Enumeration date
05/20/2026
Last updated
08/10/2026
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