Jorge Luis Lopez

NPI #1306580576 in Live Oak, Texas

Provider Information

NPI Number: 1306580576
Entity Type: Individual
Name: Jorge Luis Lopez
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Apr 25, 2022
Last Updated: Apr 25, 2022

Practice Location

Address: 12702 TOEPPERWEIN RD STE 120
City: Live Oak
State: Texas
ZIP Code: 78233-3208
Phone: (210) 653-4420

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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