Most Relevant Information
Provider Data
| NPI Number: | 1003351057 |
| Provider Name: | DANIELLE PURCELL LOPEZ PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | PA10899 |
Most Important Dates
| Enumeration Date: | 12/30/2016 |
| Last Updated: | 03/16/2023 |
Provider Practice Location
2332 BEVERLY HILLS DR
FORT WORTH
TX
761141756
Practice Location Phone/Fax
| Phone: | 8173780855 |
| Fax: | 8173780861 |
Provider Mailing Location
2332 BEVERLY HILLS DR
FORT WORTH
TX
761141756
Provider Mailing Phone/Fax
| Phone: | 8173780855 |
| Fax: | 8173780861 |