Individual
LOFTON N MISICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
819 AYERS ST, CORPUS CHRISTI, TX 78404-1914
(361) 761-8610
(361) 761-8611
Mailing address
ID#1177, PO BOX 659506, SAN ANTONIO, TX 78265-9506
(361) 761-8610
(361) 761-8611
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
Q7428
TX
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Q7428
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2029665
—
OH
05
—
364986503
—
TX
Enumeration date
05/27/2006
Last updated
03/09/2022
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