| NPI | 1255402038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT FRANK LOPEZ Owner 520-400-8364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2025-05-05 |