Healthcare Provider Details

I. General information

NPI: 1720070121
Provider Name (Legal Business Name): MUNIR LOYA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2005
Last Update Date: 05/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11920 ASTORIA BLVD SUITE #110
HOUSTON TX
77089
US

IV. Provider business mailing address

11920 ASTORIA BLVD. SUITE #110
HOUSTON TX
77089
US

V. Phone/Fax

Practice location:
  • Phone: 281-464-8484
  • Fax: 281-464-8432
Mailing address:
  • Phone: 281-464-8484
  • Fax: 281-464-8432

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberL9789
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: