Provider Demographics
NPI:1295217693
Name:LOPEZ, HILDA HORTENSIA
Entity type:Individual
Prefix:
First Name:HILDA
Middle Name:HORTENSIA
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20222 RAINGATE LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-3103
Mailing Address - Country:US
Mailing Address - Phone:281-726-3004
Mailing Address - Fax:
Practice Address - Street 1:20222 RAINGATE LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-3103
Practice Address - Country:US
Practice Address - Phone:281-726-3004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-31
Last Update Date:2018-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX89243164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse