Provider Demographics
NPI:1578582987
Name:LOFTON, ZEKEYA V (NP)
Entity type:Individual
Prefix:
First Name:ZEKEYA
Middle Name:V
Last Name:LOFTON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:523 S FANNIN AVE
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75702-8204
Mailing Address - Country:US
Mailing Address - Phone:903-535-9041
Mailing Address - Fax:
Practice Address - Street 1:490 US HIGHWAY 80 E STE 200
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:TX
Practice Address - Zip Code:75182-9220
Practice Address - Country:US
Practice Address - Phone:972-329-1996
Practice Address - Fax:972-329-0211
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN10491363L00000X
TXAP146181363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3906487Medicaid
500029632OtherRR MEDICARE
TN3906484Medicaid
4050829OtherBCBS
500029632OtherRR MEDICARE