Lopez, Tania

Lopez, Tania is an individual health care provider with primary practice located at 855 Montgomery St , Fort Worth TX 76107-2553. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Lopez, Tania can be contacted via phone (817) 735-2363.

Contact Information

Primary practice address
855 Montgomery St Fort Worth TX 76107-2553
Phone: (817) 735-2363
Fax: (817) 702-6561
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 597529 Texas

Profile Details

NPI number 1861408775
LBN Legal business name Lopez, Tania
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Jun 24th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861408775 NPPES
Texas MEDICAID 177150301
Texas Other 8N9742

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