Individual
MR. ALFREDO LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
100 E ALTON GLOOR BLVD # A, BROWNSVILLE, TX 78526-3328
(956) 350-7000
Mailing address
6035 SABINAS ST, BROWNSVILLE, TX 78521-6966
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA13392
TX
Other
Enumeration date
01/29/2020
Last updated
02/27/2020
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