Individual
DR. HENRY KENNETH LOEFFLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
616 W RUSSELL PL, SAN ANTONIO, TX 78212-3658
(800) 257-8715
(800) 819-1655
Mailing address
250 LOEFFLER LN, NEW BRAUNFELS, TX 78132-3783
(830) 899-3141
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
23411
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099559901
—
TX
01
—
680005268
RAIL ROAD
TX
01
—
86033A
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/13/2006
Last updated
02/24/2010
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