Provider Demographics
NPI:1720070121
Name:LOYA, MUNIR (MD)
Entity type:Individual
Prefix:
First Name:MUNIR
Middle Name:
Last Name:LOYA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11920 ASTORIA BLVD.
Mailing Address - Street 2:SUITE #110
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089
Mailing Address - Country:US
Mailing Address - Phone:281-464-8484
Mailing Address - Fax:281-464-8432
Practice Address - Street 1:11920 ASTORIA BLVD
Practice Address - Street 2:SUITE #110
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089
Practice Address - Country:US
Practice Address - Phone:281-464-8484
Practice Address - Fax:281-464-8432
Is Sole Proprietor?:No
Enumeration Date:2005-08-22
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9789207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX172637401Medicaid
TX8D3685Medicare PIN
TX172637401Medicaid