MEDICARE: WILLIAM M LOVING M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	E2687	TX

General Provider Information

NPI Number	:	1255349296
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM M LOVING M.D.

Provider Business Mailing Address
First Line	:	PO BOX 152680
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78715-2680
Country	:	US
Telephone Number	:	512-292-1122
Fax Number	:	512-292-1144

Provider Business Practice Location Address
First Line	:	1106 WEST DITTMAR
Second Line	:	PECOS UNIT
City	:	AUSTIN
State	:	TX
Zip	:	78745
Country	:	US
Telephone Number	:	512-451-1473
Fax Number	:	512-292-1144

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2006
Last Update Date	:	07/08/2007

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