Provider Demographics
NPI:1104817436
Name:LOYA, MARY CRUZ (NP)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:CRUZ
Last Name:LOYA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:4401 N INTERSTATE 35 UNIT 312
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76207-3318
Mailing Address - Country:US
Mailing Address - Phone:940-381-1501
Mailing Address - Fax:940-566-8059
Practice Address - Street 1:3537 S I 35 E STE 210
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210
Practice Address - Country:US
Practice Address - Phone:940-381-1501
Practice Address - Fax:940-381-5249
Is Sole Proprietor?:No
Enumeration Date:2005-11-04
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXAP13604363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CANP14166OtherNP LICENSE
TXAP13604OtherNP
TXAP13604OtherNP