Provider Demographics
NPI:1881836732
Name:ALAN T. LLOYD, MD
Entity Type:Organization
Organization Name:ALAN T. LLOYD, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:LLOYD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-792-3278
Mailing Address - Street 1:17720 CORPORATE WOODS DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78259-3500
Mailing Address - Country:US
Mailing Address - Phone:210-792-3278
Mailing Address - Fax:
Practice Address - Street 1:17720 CORPORATE WOODS DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78259-3500
Practice Address - Country:US
Practice Address - Phone:210-792-3278
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-24
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ6160273R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
176381OtherCOMPSYCH
00N50DOtherBLUE CROSS BLUE SHIELD
V005289OtherTRICARE
V005289OtherAETNA
TX0350308-01Medicaid
090637OtherVALUE BEHAVIORAL HEALTH
V005289OtherAETNA
00N50DOtherBLUE CROSS BLUE SHIELD