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Individual

MANUEL D LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10201 GATEWAY BLVD W, #210, EL PASO, TX 79925-7652
(915) 591-2922
(915) 591-0495
Mailing address
10201 GATEWAY BLVD W, #210, EL PASO, TX 79925-7652
(915) 591-2922
(915) 591-0495

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
J8303
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0314213-01
TX
05
031421302
TX
Enumeration date
04/18/2006
Last updated
01/28/2009
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