Individual
DR. KEISHA L LOFTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8257 FREDERICKSBURG RD, SAN ANTONIO, TX 78229-3357
(210) 614-7993
(210) 692-0432
Mailing address
8257 FREDERICKSBURG RD, SAN ANTONIO, TX 78229-3357
(210) 614-7993
(210) 692-0432
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
L6503
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158063103
—
TX
01
—
8X8740
BLUE CROSS BLUE SHIELD
TX
01
—
L6503
MD LICENSE
TX
Enumeration date
05/26/2006
Last updated
07/28/2021
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