Provider Demographics
NPI:1447646708
Name:LOYA VALENCIA, CARLOS EDUARDO (MD)
Entity type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:EDUARDO
Last Name:LOYA VALENCIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:CARLOS
Other - Middle Name:EDUARDO
Other - Last Name:LOYA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:524 SINGING OAKS STE 311
Mailing Address - Street 2:
Mailing Address - City:BULVERDE
Mailing Address - State:TX
Mailing Address - Zip Code:78070-6534
Mailing Address - Country:US
Mailing Address - Phone:830-214-1688
Mailing Address - Fax:830-212-4513
Practice Address - Street 1:524 SINGING OAKS STE 311
Practice Address - Street 2:
Practice Address - City:BULVERDE
Practice Address - State:TX
Practice Address - Zip Code:78070-6534
Practice Address - Country:US
Practice Address - Phone:830-214-1688
Practice Address - Fax:830-212-4513
Is Sole Proprietor?:No
Enumeration Date:2015-04-13
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR8600207QS0010X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine