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Individual

DR. BRIENNE JANSEN LOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5104 HARRISBURG BLVD STE 800, HOUSTON, TX 77011-0001
(832) 667-4150
(833) 853-9420
Mailing address
PO BOX 616788, ORLANDO, FL 32861-6788
(407) 533-6837
(407) 770-0661

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
04-44574
KS
207Q00000X
Family Medicine Physician
20997
NV
207Q00000X
Family Medicine Physician
322329
LA
207Q00000X
Family Medicine Physician
47925
CO
207Q00000X
Family Medicine Physician
62983
AZ
207Q00000X
Family Medicine Physician
88895
GA
207Q00000X
Family Medicine Physician
Primary
S2102
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4101404-01
TX
01
830796
MEDICARE
TX
Enumeration date
08/19/2008
Last updated
11/29/2021
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