Individual
MR. BIBIANO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
920 RAGLAND DR, CEDAR HILL, TX 75104-9264
(972) 207-9110
Mailing address
920 RAGLAND DR, CEDAR HILL, TX 75104-9264
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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