Individual
AARON ANTHONY LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
6028 SURETY DR, EL PASO, TX 79905-2018
(915) 781-2901
Mailing address
11721 SCOTT SIMPSON DR, EL PASO, TX 79936-6230
(915) 422-0494
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
118455
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25587716
DRIVERS LICENSE NUMBER
TX
Enumeration date
06/27/2017
Last updated
06/16/2018
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