Individual
ADRIEL LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4436 PACK SADDLE PASS, SUITE B, AUSTIN, TX 78745-1624
(512) 444-7200
(512) 444-7489
Mailing address
4436 PACK SADDLE PASS, SUITE B, AUSTIN, TX 78745-1624
(512) 444-7200
(512) 444-7489
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1238
VA
152W00000X
Optometrist
Primary
3360TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112432303
—
TX
Enumeration date
07/06/2006
Last updated
11/26/2014
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