Healthcare Provider Details

I. General information

NPI: 1881836732
Provider Name (Legal Business Name): ALAN T. LLOYD, MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2009
Last Update Date: 03/24/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17720 CORPORATE WOODS DR
SAN ANTONIO TX
78259-3500
US

IV. Provider business mailing address

17720 CORPORATE WOODS DR
SAN ANTONIO TX
78259-3500
US

V. Phone/Fax

Practice location:
  • Phone: 210-792-3278
  • Fax:
Mailing address:
  • Phone: 210-792-3278
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License NumberJ6160
License Number StateTX

VIII. Authorized Official

Name: ALAN TODD LLOYD
Title or Position: OWNER
Credential: M.D.
Phone: 210-792-3278