Provider Demographics
NPI:1124248513
Name:LOYA, JUAN FRANCISCO (MD)
Entity type:Individual
Prefix:DR
First Name:JUAN
Middle Name:FRANCISCO
Last Name:LOYA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1421 S MAIN ST
Mailing Address - Street 2:SUITE 111
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-3321
Mailing Address - Country:US
Mailing Address - Phone:830-249-9995
Mailing Address - Fax:830-249-9868
Practice Address - Street 1:1421 S MAIN ST
Practice Address - Street 2:SUITE 111
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-3321
Practice Address - Country:US
Practice Address - Phone:830-249-9995
Practice Address - Fax:830-249-9868
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2012-10-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXJ4309207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB161407Medicare PIN