NICOLE TERETHA LOPEZ

JBSA FT SAM HOUSTON, TX
NPI1669628111
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: TX  PA06960)
Enumeration Date2008-08-15
Last Update Date2018-04-18
Business Address
Miss NICOLE TERETHA LOPEZ PA
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234-4504
Phone number: 210-916-8764
Mailing Address
Miss NICOLE TERETHA LOPEZ PA
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234-4504
Phone number: 210-916-8764
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