Most Relevant Information
Provider Data
| NPI Number: | 1003548306 |
| Provider Name: | RUBEN LOPEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 343900000X |
| Specialty: | Non-emergency Medical Transport (VAN) |
| License Number: | 44667937 |
Most Important Dates
| Enumeration Date: | 06/27/2022 |
| Last Updated: | 06/27/2022 |
Provider Practice Location
120 N AVENUE B
CRYSTAL CITY
TX
788393519
Practice Location Phone/Fax
| Phone: | 7017303764 |
| Fax: |
Provider Mailing Location
120 N AVENUE B
CRYSTAL CITY
TX
788393519
Provider Mailing Phone/Fax
| Phone: | 7017303764 |
| Fax: |