Individual
AIDA IBRAGIMOVNA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BLS, CRRN
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
Mailing address
4639 GREEN WILLOW WOODS, SAN ANTONIO, TX 78249-1431
(210) 777-3915
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
730441
TX
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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