Individual
MONICA LIZETH LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8200 WALNUT HILL LN, DALLAS, TX 75231-4402
(214) 345-6789
Mailing address
2403 N WASHINGTON AVE APT 358, DALLAS, TX 75204-3738
(956) 572-6479
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
813875
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
1154467
TX
Other
Enumeration date
07/03/2023
Last updated
03/04/2024
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