Provider Demographics
NPI:1629325014
Name:LOFTON, ARIELLE LA VONNE (MD)
Entity Type:Individual
Prefix:MRS
First Name:ARIELLE
Middle Name:LA VONNE
Last Name:LOFTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12101 GRANT RD STE G
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-2761
Mailing Address - Country:US
Mailing Address - Phone:281-205-8236
Mailing Address - Fax:281-205-8237
Practice Address - Street 1:12101 GRANT RD STE G
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-2761
Practice Address - Country:US
Practice Address - Phone:281-205-8236
Practice Address - Fax:281-205-8237
Is Sole Proprietor?:No
Enumeration Date:2012-08-06
Last Update Date:2017-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TXP7493207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program