Individual
TAMMY LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5303 50TH ST, LUBBOCK, TX 79414-1817
(806) 799-8950
(806) 799-8939
Mailing address
2301 N O CONNOR RD, IRVING, TX 75062-5681
(806) 799-8950
(806) 799-8939
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD0001060
CO
237600000X
Audiologist-Hearing Aid Fitter
80703
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80703
STATE LICENSE
TX
01
—
AUD.0001060
STATE LICENSE
CO
01
—
AUD6443
STATE LICENSE
NM
Enumeration date
07/15/2015
Last updated
12/03/2021
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