Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 16919 | TX |
NPI | 1003960485 |
---|---|
Provider Name | Dr. James M. Lloyd |
First Address | Houston, TX 77024-2948 |
Second Address | Houston, TX 77024-2948 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2007 |
Last Update Date | 08/07/2007 |