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NPI Code Detail

MEDICARE: WILLIAM M LOVING M.D.

MEDICARE:   WILLIAM M LOVING  M.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
12084P0800XPsychiatry PhysicianE2687TX

General Provider Information

NPI Number : 1255349296
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM M LOVING M.D.
Provider Business Mailing Address
First Line : PO BOX 152680
Second Line :
City : AUSTIN
State : TX
Zip : 78715-2680
Country : US
Telephone Number : 512-292-1122
Fax Number : 512-292-1144
Provider Business Practice Location Address
First Line : 1106 WEST DITTMAR
Second Line : PECOS UNIT
City : AUSTIN
State : TX
Zip : 78745
Country : US
Telephone Number : 512-451-1473
Fax Number : 512-292-1144
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2006
Last Update Date : 07/08/2007

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Directions to “ WILLIAM M LOVING M.D.” Practice Location

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