Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | Q0664 | TX |
NPI | 1043517998 |
---|---|
Provider Name | Mr. Ronald J Lopez-Cepero |
First Address | Houston, TX 77008 |
Second Address | Houston, TX 77008 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/02/2011 |
Last Update Date | 04/02/2020 |