Provider Demographics
NPI:1437955531
Name:LOPEZ, VALERIA (MED)
Entity type:Individual
Prefix:
First Name:VALERIA
Middle Name:
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:MED
Other - Prefix:MISS
Other - First Name:VALERIA
Other - Middle Name:
Other - Last Name:LOPEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MED
Mailing Address - Street 1:RIVER OAKS TOWER 3730 KIRBY DRIVE,
Mailing Address - Street 2:SUITE 904
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098
Mailing Address - Country:US
Mailing Address - Phone:832-484-2635
Mailing Address - Fax:
Practice Address - Street 1:RIVER OAKS TOWER 3730 KIRBY DRIVE
Practice Address - Street 2:SUITE 904
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098
Practice Address - Country:US
Practice Address - Phone:832-484-2635
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX95122101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health