Organization
LUCIDITY OF SAN ANTONIO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINGO LOPEZ JR. NP (OWNER/MANAGING MEMBER)
(210) 573-2736
Entity
Organization
Contact information
Practice address
8203 TESORO HLS, SAN ANTONIO, TX 78242-1414
(210) 400-1911
Mailing address
8203 TESORO HLS, SAN ANTONIO, TX 78242-1414
(210) 400-1911
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/20/2023
Last updated
10/11/2023
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