Individual
MRS. TIFFANY LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Contact information
Practice address
7585 KITTY HAWK RD STE 201, CONVERSE, TX 78109-2820
(210) 468-2333
Mailing address
7585 KITTY HAWK RD STE 201, CONVERSE, TX 78109-2820
(210) 468-2333
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1052505
TX
Other
Enumeration date
08/07/2021
Last updated
12/02/2021
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