Individual
MARIA O LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRT
Contact information
Practice address
1431 EVERGREEN AVE, MISSION, TX 78572-6226
(956) 279-1638
Mailing address
1431 EVERGREEN AVE, MISSION, TX 78572-6226
(956) 279-1638
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
51099
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51099
TEXAS STATE BOARD
TX
Enumeration date
10/31/2007
Last updated
10/31/2007
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