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Organization

WALTER X .LOYOLA,M.D.,PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WALTER X LOYOLA M.D. (OWNER)
(972) 312-0607
Entity
Organization

Contact information

Practice address
3060 COMMUNICATIONS PKWY, SUITE 100, PLANO, TX 75093-8449
(972) 213-0607
Mailing address
3200 GLENHURST CT, PLANO, TX 75093-3448
(972) 312-0607

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1215933403
NPI
TX
01
1689676520
NPI
TX
Enumeration date
07/15/2008
Last updated
08/19/2008
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