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Individual

MR. CHRISTIAN LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.P.

Contact information

Practice address
3006 CARLA DR, ROWLETT, TX 75088-5770
(972) 217-5102
(214) 242-9863
Mailing address
PO BOX 852835, MESQUITE, TX 75185-2835
(972) 217-5102
(214) 242-9863

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
06/30/2008
Last updated
06/30/2008
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