Jennifer Knickerbocker Lopez, PHYSICIAN ASSISTANT
NPI #1356901623 in The Colony, Texas
Provider Information
- NPI Number
- 1356901623
- Entity Type
- Individual
- Name
- Jennifer Knickerbocker Lopez, PHYSICIAN ASSISTANT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PHYSICIAN ASSISTANT
- Enumeration Date
- Jun 18, 2019
- Last Updated
- Jul 12, 2023
Practice Location
- Address
- 5702 SAINTSBURY DR APT 123
- City
- The Colony
- State
- Texas
- ZIP Code
- 75056-5488
- Phone
- (316) 558-2341
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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