MEDICARE: DR. KARINA LOYA D.P.M.

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	213E00000X	Podiatrist	1438	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	480028690	OTHER	TX	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	89151N	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1598730160
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KARINA LOYA D.P.M.

Provider Business Mailing Address
First Line	:	201 COLONNADE PKWY
Second Line	:	# 100
City	:	WACO
State	:	TX
Zip	:	76712-6174
Country	:	US
Telephone Number	:	254-776-6995
Fax Number	:	254-776-5577

Provider Business Practice Location Address
First Line	:	201 COLONNADE PKWY
Second Line	:	SUITE 100
City	:	WACO
State	:	TX
Zip	:	76712-6174
Country	:	US
Telephone Number	:	254-776-6995
Fax Number	:	254-776-5577

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

Provider Enumeration Date	:	02/17/2006
Last Update Date	:	08/28/2019

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