Provider Demographics
NPI:1912983511
Name:LOFTUS, BRIAN D (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:D
Last Name:LOFTUS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6700 WEST LOOP S
Mailing Address - Street 2:SUITE 330
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-4104
Mailing Address - Country:US
Mailing Address - Phone:713-715-6360
Mailing Address - Fax:713-715-6367
Practice Address - Street 1:6700 WEST LOOP S
Practice Address - Street 2:SUITE 330
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-4104
Practice Address - Country:US
Practice Address - Phone:713-715-6360
Practice Address - Fax:713-715-6367
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-16
Last Update Date:2011-04-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXH92302084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF83650Medicare UPIN
TX8F3766Medicare PIN