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

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124140793
- **Authorized official:** DR. LYDIA R LOPEZ III MD (PSYCHIATRIST)
- **Authorized official phone:** (210) 403-3200

## Contact information

- **Practice address:** 12915 JONES MALTSBERGER RD STE 603, SAN ANTONIO, TX 78247-4256
- **Practice address phone:** (210) 403-3200
- **Practice address fax:** (210) 403-2511
- **Mailing address:** 12915 JONES MALTSBERGER RD STE 603, SAN ANTONIO, TX 78247-4256
- **Mailing address phone:** (210) 403-3200
- **Mailing address fax:** (210) 403-2511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | H5464 | TX | Yes |

## Other

- **Enumeration date:** 04/04/2007
- **Last updated:** 08/22/2020