Juanita C Lopez, PA

NPI #1194855817 in Odessa, Texas

Provider Information

NPI Number: 1194855817
Entity Type: Individual
Name: Juanita C Lopez, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Mar 6, 2007
Last Updated: Jan 2, 2014

Practice Location

Address: 720 GOLDER AVE
City: Odessa
State: Texas
ZIP Code: 79761-4442
Phone: (432) 337-3117

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X
Physician Assistant	363A00000X	Primary

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