Physician Compare National (NPI:1841258217)

HEALTHCARE PROVIDER: LOUISE H BETHEA MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1841258217
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0840245171
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050318000649
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BETHEA
	Individual professional last name
Provider First Name	LOUISE
	Individual professional first name
Provider Middle Name	H
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	MISSISSIPPI MEDICAL COLLEGE
	Individual professional's medical school
Graduation Year	1972
	Individual professional's medical school graduation year
Primary Specialty	ALLERGY/IMMUNOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	25250 BOROUGH PARK DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 109
	Group Practice or individual's line 2 address
City	THE WOODLANDS
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	773803565
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y