Individual
SANDRA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4800 ALBERTA AVE, OBGYN DEPT, EL PASO, TX 79905-2709
(915) 545-6714
(915) 545-0901
Mailing address
5525 N STANTON ST, APT. 14G, EL PASO, TX 79912-6400
(915) 227-1449
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
P6449
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10034697
TX
Other
Enumeration date
06/25/2009
Last updated
07/22/2019
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