Individual
GUILLERMO LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1337 BARCLAY ST, SAN ANTONIO, TX 78207-7322
(210) 851-0698
Mailing address
1337 BARCLAY ST, SAN ANTONIO, TX 78207-7322
(210) 851-0698
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
456078567897
TX
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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