Individual
MR. GARY LEE LLOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
825 E RUNDBERG LN, SUITE F, AUSTIN, TX 78753-4808
(512) 804-3900
(512) 804-3901
Mailing address
825 E RUNDBERG LN, SUITE F, AUSTIN, TX 78753-4808
(512) 804-3900
(512) 804-3901
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
6030150
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0443319 04
—
TX
Enumeration date
07/03/2006
Last updated
03/17/2015
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