Provider Demographics
NPI:1750590873
Name:ALTAF LOYA MD P.A.
Entity type:Organization
Organization Name:ALTAF LOYA MD P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALTAF
Authorized Official - Middle Name:
Authorized Official - Last Name:LOYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-481-4646
Mailing Address - Street 1:150 E MEDICAL CENTER BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4373
Mailing Address - Country:US
Mailing Address - Phone:281-481-4646
Mailing Address - Fax:281-481-4649
Practice Address - Street 1:150 E MEDICAL CENTER BLVD STE A
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4373
Practice Address - Country:US
Practice Address - Phone:281-481-4646
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric PsychiatryGroup - Multi-Specialty
No2084P0015XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychosomatic MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX174653901Medicaid
TX8R9710OtherBLUE CROSS BLUE SHIELD
TXP00217140OtherRAILROAD MEDICARE
TXP00217140OtherRAILROAD MEDICARE