Lauren Lopez

 
 CHRISTUS Spohn Hosp South 
 5950 Saratoga Blvd. 
 Corpus Christi, TX 78414 
 ADMISSION/SERVICE DATE 
 TIME 
 DISCHARGE DATE 
 TIME 
 ACCOUNT NUMBER 
 16/05/16
 1554 
 AV0001606094 
 CHRISTUS Spohn Hosp South 
 5950 Saratoga Blvd. 
 Corpus Christi, TX 78414 
 PATIENT NAMBAD DRESS 
 UNIT NUMBER 
 ROOMIESD & 
 ADMIT COURCH 
 LOCIGNO 
 ACCOMMIDDATION 
 STATUS 
 TREJO, ELMA MUNOZ 
 CONFIDENTIAL 
 REG ER 
 1 NON HLTH F 
 601 HUGHES AVE 
 MV00480850 
 AV.ED 
 DOB: 01/09/15
 MARTLSTAT 
 LANGUAGE 
 ADMIT PRIORT 
 CLASS 
 ADMIT CLERK 
 PALICE, TX 78332-6580 
 D 
 AGE: 69 
 SPOKEN 
 N 
 M 
 BNG 
 ER 
 MM 
 Alternate Address? 
 SEX: F RACE 
 WH 

 
 RELIGION: CA 
 WRITTEN 
 ENG 
 SSN: 
 Other Name: 
 ETHN: HISPANIC OR LATINO ORIGIN 

 Other Hisp,La 
 PATIENT EMPLOYER 
 NEXT OFKIN ADDRESS 
 ERSON TO NOTIEY ADDRESS 
 RETIRED 
 TREJOJJACOB 
 TREJO MICHAEL 

 RELATIONSHIP: SON 
 RELATIONSHIP: SON 
 OCCUPATION: RE 
 
  
 76729-3 
 South Texas Bone & Joint - 00346
