Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ibonne Lopez Maso

Individual provider Family Nurse Practitioner · NPI 1104697887

Ibonne Lopez Maso is a Family Nurse Practitioner in Fort Worth, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2024

Practice location Address checks out

1701 NW 25th St
Fort Worth, TX 76164-6850
Phone: (682) 707-5982
Fax: (682) 707-5984
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1020731 (TX)

Record details

NPI number1104697887
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 11, 2024
Last updated in NPPESJanuary 11, 2024
Certification dateJanuary 11, 2024

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