Individual
IRENE M LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5610 DANNY KAYE DR, SAN ANTONIO, TX 78240-2315
(210) 608-9654
Mailing address
5610 DANNY KAYE DR, SAN ANTONIO, TX 78240-2315
(210) 608-9654
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
319616
TX
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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