Individual
ANTONIO JOEL LAURENCE LOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
36065 SANTA FE AVE, FORT HOOD, TX 76544-5060
(254) 553-3624
Mailing address
36065 SANTA FE AVE, FORT HOOD, TX 76544-5060
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
760921
TX
390200000X
Student in an Organized Health Care Education/Training Program
Primary
36732
NE
Other
Enumeration date
04/15/2020
Last updated
01/28/2026
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