Individual
MR. LOYD G. WHITLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4848 NE STALLINGS DR, STE 100, NACOGDOCHES, TX 75965-1239
(936) 205-5960
(936) 205-5963
Mailing address
4848 NE STALLINGS DR, STE 100, NACOGDOCHES, TX 75965-1239
(936) 205-5960
(936) 205-5963
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
014335
LA
207RP1001X
Pulmonary Disease Physician
Primary
F6346
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1943410
—
LA
Enumeration date
06/20/2005
Last updated
07/20/2011
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