Individual
TIFFANY LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2323 POLK ST APT 307, HOUSTON, TX 77003-4407
(832) 968-7175
(713) 583-8095
Mailing address
2450 LOUISIANA ST, STE 400 PMB 748, HOUSTON, TX 77006-2380
(832) 968-7175
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP141617
TX
363LP2300X
Primary Care Nurse Practitioner
SP014321
PA
Other
Enumeration date
10/27/2014
Last updated
08/03/2021
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