Lydia R Lopez, M.D., P.a.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

H5464 Issued in TX

Legal business name

LYDIA R LOPEZ, M.D., P.A.

Practice address

12915 Jones Maltsberger Rd Ste 603
San Antonio, TX 78247-4256

Phone

(210) 403-3200

Fax

(210) 403-2511

NPI assigned

Apr 4, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lydia R Lopez III, MD

Title

Psychiatrist

Phone

(210) 403-3200

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124140793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12915 JONES MALTSBERGER RD STE 603",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782474256",
            "telephone_number": "210-403-3200",
            "fax_number": "210-403-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12915 JONES MALTSBERGER RD STE 603",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782474256",
            "telephone_number": "210-403-3200",
            "fax_number": "210-403-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYDIA R LOPEZ, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "210-403-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "H5464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Child & Adolescent Psychiatry Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Child & Adolescent Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.