Individual
DAVID LOFTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2201 N HWY 121, BONHAM, TX 75418-2345
(903) 583-3111
(903) 583-1444
Mailing address
5012 S US HIGHWAY 75 STE 300, ATTN BILLING, DENISON, TX 75020-4589
(903) 583-3111
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
Q6061
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10050783
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372985701
—
TX
Enumeration date
05/22/2014
Last updated
01/26/2018
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