person
Staci E Lopez-vergara, CPNP
Pediatric Nurse Practitioner in Fort Worth, Texas
NPI 1407191323

Staci E Lopez-vergara is a Pediatric Nurse Practitioner based in Dallas, TX and is specialized in Pediatrics. Staci E Lopez-vergara practices in Fort Worth, TX and has the professional credentials of CPNP. The NPI Number for Staci E Lopez-vergara is 1407191323 and holds a License No. 755740 (Texas).

The current practice location address for Staci E Lopez-vergara is 9840 N Beach St, Fort Worth, TX and can be reached out via phone at 817-431-3898 and via fax at 817-379-1161.

Location: 9840 N Beach St, Fort Worth, TX, 75373-3784
person
Provider Profile Details
NPI Number
1407191323
Provider Name
Staci E Lopez-vergara
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
9840 N Beach St, Fort Worth, TX, 75373-3784
Phone Number
817-431-3898
Fax Number
817-379-1161
Provider Enumeration Date
12/04/2012
Last Update Date
06/15/2024
institution
Provider Business Practice Location Address Details
Address
9840 N Beach St
City
State
Zip
76244-6184
Phone Number
817-431-3898
Fax Number
817-379-1161
person
Provider Business Mailing Address Details
Address
9840 N Beach St
City
State
Zip
76244-6184
Phone Number
817-431-3898
Fax Number
817-379-1161
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
AP122615 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
755740 (Texas)
Definition
Definition to come...
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