Healthcare Provider Details

I. General information

NPI: 1376300186
Provider Name (Legal Business Name): BARBARA DENISE LLOYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2024
Last Update Date: 02/28/2024
Certification Date: 02/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 BELLA COLINAS DR
AUSTIN TX
78738-7631
US

IV. Provider business mailing address

208 BELLA COLINAS DR
AUSTIN TX
78738-7631
US

V. Phone/Fax

Practice location:
  • Phone: 512-840-1158
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number1059424
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number1059424
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: