Provider Demographics
NPI:1699930222
Name:ANAYA, OSCAR DAVID (LOY)
Entity type:Individual
Prefix:MR
First Name:OSCAR
Middle Name:DAVID
Last Name:ANAYA
Suffix:
Gender:M
Credentials:LOY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2755 SWEET ST
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-2801
Mailing Address - Country:US
Mailing Address - Phone:956-459-0136
Mailing Address - Fax:956-982-6993
Practice Address - Street 1:510 PAREDES LINE RD
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-2438
Practice Address - Country:US
Practice Address - Phone:956-546-5358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-23
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX108126225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX108126OtherOCCUPATIONAL THERAPY LICENSE -TEXAS