Eleazar Lopez
NPI #1114191483 in Rio Grande City, Texas
Provider Information
- NPI Number
- 1114191483
- Entity Type
- Organization
- Organization Name
- Eleazar Lopez
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Apr 17, 2008
- Last Updated
- Jun 20, 2008
Practice Location
- Address
- 1205 W MAIN ST STE 3
- City
- Rio Grande City
- State
- Texas
- ZIP Code
- 78582-4017
- Phone
- (956) 488-9616
Authorized Official
- Name
- MR. ELEAZAR LOPEZ
- Title
- OWNER
- Phone
- (956) 488-9616
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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