Individual
MR. JACOB RENE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN
Contact information
Practice address
205 S ENTERPRIZE PKWY, CORPUS CHRISTI, TX 78405-4118
(361) 548-1185
(956) 291-9845
Mailing address
205 S ENTERPRIZE PKWY, CORPUS CHRISTI, TX 78405-4118
(361) 548-1185
(956) 291-9845
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
725020
TX
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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