=====================================================
General NPI Number Information
=====================================================
NPI Number | 1811017551
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LOUIS TRAIN MD
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/29/2007
-----------------------------------------------------
Last Update Date | 05/19/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2626 SOUTH LOOP W #555
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77054-2654
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-664-2021
-----------------------------------------------------
Fax | 713-664-2059
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2626 SOUTH LOOP W #555
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77054-2654
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-664-2021
-----------------------------------------------------
Fax | 713-664-2059
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. LOUIS TRAIN
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 713-664-2021
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | E9442
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------