Provider Demographics
NPI:1598730160
Name:LOYA, KARINA (DPM)
Entity Type:Individual
Prefix:DR
First Name:KARINA
Middle Name:
Last Name:LOYA
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 COLONNADE PKWY
Mailing Address - Street 2:# 100
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76712-6174
Mailing Address - Country:US
Mailing Address - Phone:254-776-6995
Mailing Address - Fax:254-776-5577
Practice Address - Street 1:201 COLONNADE PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712-6174
Practice Address - Country:US
Practice Address - Phone:254-776-6995
Practice Address - Fax:254-776-5577
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1438213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX480028690OtherMEDICARE RAILROAD
TX047294601Medicaid
TX89151NOtherBCBS
TX5148350001Medicare NSC
TXU74929Medicare UPIN
TX89151NMedicare PIN