Healthcare Provider Details

I. General information

NPI: 1811633506
Provider Name (Legal Business Name): NOUR EL HODA LOUZON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2022
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9201 N 5TH ST
PHOENIX AZ
85020-2532
US

IV. Provider business mailing address

11937 US HIGHWAY 271
TYLER TX
75708-3154
US

V. Phone/Fax

Practice location:
  • Phone: 480-882-4545
  • Fax:
Mailing address:
  • Phone: 903-877-7200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberW0952
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberW0952
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: