Individual
PHILLIP A LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8610 N NEW BRAUNFELS AVE, SAN ANTONIO, TX 78217-6370
(210) 804-0193
(210) 610-8782
Mailing address
2431 CROWN HOLW, SAN ANTONIO, TX 78251-1719
(210) 823-3832
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
694149
TX
Other
Enumeration date
07/05/2020
Last updated
07/05/2020
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