Individual
MRS. MARY GRACE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8247 SPLIT OAK DR, HOUSTON, TX 77040-2615
(281) 846-4052
Mailing address
8247 SPLIT OAK DR, HOUSTON, TX 77040-2615
(281) 846-4052
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2064913
TX
Other
Enumeration date
03/19/2015
Last updated
03/19/2015
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