Individual
DR. MAYRA JANNETTE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1400 E RIDGE RD STE 10, MCALLEN, TX 78503-1536
(956) 661-8733
Mailing address
1400 E. RIDGE RD. SUITE 10, MCALLEN, TX 78503
(956) 661-8733
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8836T
TX
Other
Enumeration date
11/23/2015
Last updated
11/23/2015
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