Healthcare Provider Details

I. General information

NPI: 1225668833
Provider Name (Legal Business Name): LOUIS LEI JIN DAOM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2020
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5220 FM 2920 RD STE 110
SPRING TX
77388-3003
US

IV. Provider business mailing address

11308 W GREENFIELD AVE UNIT 1
MILWAUKEE WI
53214-2246
US

V. Phone/Fax

Practice location:
  • Phone: 713-429-0881
  • Fax: 832-698-9568
Mailing address:
  • Phone: 262-993-8388
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number527-55
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: