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Jennifer Lopez, DO
Obstetrics & Gynecology Physician in Fort Worth, Texas
NPI 1063918928

Jennifer Lopez is a Obstetrics & Gynecology Physician based in Fort Worth, TX. Jennifer Lopez practices in Fort Worth, TX and has the professional credentials of DO. The NPI Number for Jennifer Lopez is 1063918928 and holds a License No. (Texas).

The current practice location address for Jennifer Lopez is 1500 S Main St, Fort Worth, TX and can be reached out via phone at 817-702-1173.

Location: 1500 S Main St, Fort Worth, TX, 76104-4917
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063918928
Provider Name
Jennifer Lopez
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
1500 S Main St, Fort Worth, TX, 76104-4917
Phone Number
817-702-1173
Fax Number
Provider Enumeration Date
03/31/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1500 S Main St
City
Fort Worth
State
Texas
Zip
76104-4917
Phone Number
817-702-1173
Fax Number
person
Provider Business Mailing Address Details
Address
1500 S Main St
City
Fort Worth
State
Texas
Zip
76104-4917
Phone Number
817-702-1173
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
S6677 (Texas)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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