Individual provider · Type 1 NPI
Ibonne Lopez Maso
Family Nurse Practitioner · Fort Worth, TX
NPI number
1104697887
Active
Practice location
1701 NW 25th St
Fort Worth, TX 76164-6850
Fax (682) 707-5984
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 1020731 (TX) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1104697887
Ibonne Lopez Maso's National Provider Identifier is 1104697887, issued on Jan 11, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Worth, TX. The record was last updated on Jan 11, 2024.