Provider Demographics
NPI:1982967535
Name:LOYFERMAN, RUSTY MARK (DO)
Entity Type:Individual
Prefix:DR
First Name:RUSTY
Middle Name:MARK
Last Name:LOYFERMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:6431 FANNIN ST
Mailing Address - Street 2:SUITE MSB 5.195
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-5389
Mailing Address - Country:US
Mailing Address - Phone:713-500-6113
Mailing Address - Fax:713-500-0528
Practice Address - Street 1:6431 FANNIN ST
Practice Address - Street 2:SUITE MSB 5.195
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-5389
Practice Address - Country:US
Practice Address - Phone:713-500-6113
Practice Address - Fax:713-500-0528
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-19
Last Update Date:2016-07-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXQ8947207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology