Provider Demographics
NPI:1104890227
Name:LOPEZ-ROCA FERNANDEZ, ARGELIO LUIS (MD)
Entity type:Individual
Prefix:DR
First Name:ARGELIO
Middle Name:LUIS
Last Name:LOPEZ-ROCA FERNANDEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ARGELIO
Other - Middle Name:LUIS
Other - Last Name:LOPEZ-ROCA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:3551 ROGER BROOKE DR BLDG 3528R
Mailing Address - Street 2:BAMC DEPT OF BEH MED, ATTN: MCHE-ZDB
Mailing Address - City:FORT SAM HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:78234-4504
Mailing Address - Country:US
Mailing Address - Phone:210-539-9567
Mailing Address - Fax:210-539-5467
Practice Address - Street 1:3551 ROGER BROOKE DR BLDG 3528R
Practice Address - Street 2:BAMC DEPT OF BEH MED, ATTN: MCHE-ZDB
Practice Address - City:FORT SAM HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:78234-4504
Practice Address - Country:US
Practice Address - Phone:210-539-9567
Practice Address - Fax:210-539-5467
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-15
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN97322084P0800X, 2084F0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry