Healthcare Provider Details

I. General information

NPI: 1508998667
Provider Name (Legal Business Name): ANJANETTE KAYE LLOYD MS, CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANJANETTE KAYE KING MS, CPNP

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 06/03/2021
Certification Date: 06/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10325 LAKE JUNE RD STE 568
DALLAS TX
75217-5326
US

IV. Provider business mailing address

14100 SAN PEDRO AVE STE 412
SAN ANTONIO TX
78232-2009
US

V. Phone/Fax

Practice location:
  • Phone: 214-247-6550
  • Fax: 210-314-5044
Mailing address:
  • Phone: 210-281-8669
  • Fax: 210-314-5044

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAP121197
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: