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Individual

DR. THOMAS STUART LOFTUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2200 PARK BEND DR., BLDG. 2, SUITE 202, AUSTIN, TX 78758
(512) 836-0900
(512) 836-0902
Mailing address
2200 PARK BEND DR., BLDG. 2, SUITE 202, AUSTIN, TX 78758
(512) 836-0900
(512) 836-0902

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
L5439
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
163319001
TX
01
7039435
AETNA
TX
01
8H8375
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/25/2005
Last updated
11/10/2014
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