IBONNE LOPEZ MASO

FORT WORTH, TX
NPI1104697887
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  1020731)
Enumeration Date2024-01-11
Last Update Date2024-01-11
Business Address
IBONNE LOPEZ MASO
1701 NW 25TH ST
FORT WORTH, TX 76164-6850
Phone number: 682-707-5982
Mailing Address
IBONNE LOPEZ MASO
1701 NW 25TH ST
FORT WORTH, TX 76164-6850
Phone number: 682-707-5982