Organization
MARIA I LOPEZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARIA ISABEL LOPEZ (OWNER)
(210) 639-2560
Entity
Organization
Contact information
Practice address
4618 MANITOU, SAN ANTONIO, TX 78228-1834
(210) 436-6885
(210) 431-7884
Mailing address
4618 MANITOU, SAN ANTONIO, TX 78228-1834
(210) 436-6885
(210) 431-7884
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
117713
TX
Other
Enumeration date
01/23/2007
Last updated
06/17/2008
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