Organization
KEISHA L. LOFTIN, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEISHA L LOFTIN M.D. (PRESIDENT/MD)
(210) 614-7993
Entity
Organization
Contact information
Practice address
7922 EWING HALSELL DR, SUITE 170, SAN ANTONIO, TX 78229-3786
(210) 614-7993
(210) 692-0432
Mailing address
7922 EWING HALSELL DR, SUITE 170, SAN ANTONIO, TX 78229-3786
(210) 614-7993
(210) 692-0432
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0090PL
BLUE CROSS BLUE SHIELD
TX
01
—
L6503
MD LICENSE
TX
Enumeration date
09/16/2006
Last updated
09/12/2007
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