Individual
MR. REYNALDO LOPEZ III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5522 103RD ST, LUBBOCK, TX 79424-6417
(806) 474-7314
Mailing address
5522 103RD ST, LUBBOCK, TX 79424-6417
(806) 474-7314
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
23318
TX
Other
Enumeration date
10/02/2025
Last updated
10/03/2025
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