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NPI Code Detail

MEDICARE: PAUL M LOFLIN PH.D.

MEDICARE: PAUL M LOFLIN PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist32519TX

General Provider Information

NPI Number : 1083649776
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL M LOFLIN PH.D.
Provider Business Mailing Address
First Line : 901 E HACKBERRY AVE
Second Line :
City : MCALLEN
State : TX
Zip : 78501-6502
Country : US
Telephone Number : 956-618-7100
Fax Number :
Provider Business Practice Location Address
First Line : 901 E HACKBERRY AVE
Second Line :
City : MCALLEN
State : TX
Zip : 78501-6502
Country : US
Telephone Number : 956-618-7100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2006
Last Update Date : 11/06/2015

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