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NPI 1396831673

NPI 1396831673 : PENELOPE T LOUIS MD : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1396831673
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    Entity Type          |    Individual 
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    Provider Name        |    PENELOPE T LOUIS MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/05/2006
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    Last Update Date     |    10/03/2007
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Provider Practice Location Address
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    Address Line         |    1 BAYLOR PLZ BAYLOR COLLEGE OF MEDICINE
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77030-3411
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    Country              |    US
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    Telephone            |    832-822-6503
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6624 FANNIN ST 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77030-2312
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    Country              |    US
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    Telephone            |    713-442-0000
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    H0016
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    License Number State |    TX
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