Healthcare Provider Details

I. General information

NPI: 1265653430
Provider Name (Legal Business Name): LOUGHRAN MEDICAL ARTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3635 SHORE SHADOWS DR
CROSBY TX
77532-7220
US

IV. Provider business mailing address

3635 SHORE SHADOWS DR
CROSBY TX
77532-7220
US

V. Phone/Fax

Practice location:
  • Phone: 765-318-0611
  • Fax: 281-462-1960
Mailing address:
  • Phone: 765-318-0611
  • Fax: 281-462-1960

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberM2382
License Number StateTX

VIII. Authorized Official

Name: DR. JAMES PATRICK LOUGHRAN
Title or Position: OWNER PRESIDENT
Credential: M.D.
Phone: 765-318-0611