Most Relevant Information
Provider Data
| NPI Number: | 1003414350 |
| Provider Name: | BERENICE PACHECO LOPEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 2355S0801X |
| Specialty: | Specialist/Technologist |
| License Number: | 41646 |
Most Important Dates
| Enumeration Date: | 10/09/2020 |
| Last Updated: | 10/09/2020 |
Provider Practice Location
2335 E SAUNDERS ST # 3
LAREDO
TX
780415434
Practice Location Phone/Fax
| Phone: | 9567535600 |
| Fax: |
Provider Mailing Location
4727 ARK CTS
LAREDO
TX
780464020
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |