Provider Demographics
NPI:1659446896
Name:LOYD, JOSHUA M (MD)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:M
Last Name:LOYD
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 1:1212 BARAK CIR
Mailing Address - Street 2:
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77802-3200
Mailing Address - Country:US
Mailing Address - Phone:979-229-7940
Mailing Address - Fax:
Practice Address - Street 1:1301 MEMORIAL DR STE 200
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77802-5201
Practice Address - Country:US
Practice Address - Phone:979-776-8440
Practice Address - Fax:979-776-6295
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN0231207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXN0231OtherLICENSE
OK24588OtherLICENSE
TX1659446896Medicaid