Individual
ROY LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
84 NE LOOP 410 STE 210, SAN ANTONIO, TX 78216-5802
(210) 963-5121
Mailing address
217 CIBOLO RIDGE DR, LA VERNIA, TX 78121-5950
(210) 963-5121
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
023649
TX
Other
Enumeration date
06/16/2025
Last updated
05/07/2026
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