Provider Demographics
NPI:1114010410
Name:LOPEZ, ROWENA R (DC)
Entity Type:Individual
Prefix:DR
First Name:ROWENA
Middle Name:R
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8746 BACKCOVE CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77064-8893
Mailing Address - Country:US
Mailing Address - Phone:281-216-2693
Mailing Address - Fax:
Practice Address - Street 1:6633 HILLCROFT ST
Practice Address - Street 2:SUITE 140
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-4887
Practice Address - Country:US
Practice Address - Phone:713-780-1186
Practice Address - Fax:713-484-7366
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2009-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10241111N00000X
GUC000025111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor