MISS Nicole Teretha Lopez, PA
NPI #1669628111 in Jbsa Ft Sam Houston, Texas
Provider Information
- NPI Number
- 1669628111
- Entity Type
- Individual
- Name
- MISS Nicole Teretha Lopez, PA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA
- Enumeration Date
- Aug 15, 2008
- Last Updated
- Apr 18, 2018
Practice Location
- Address
- 3551 ROGER BROOKE DR
- State
- Texas
- ZIP Code
- 78234-4504
- Phone
- (210) 916-8764
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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