MEDICARE: DR. DANIEL D LOUIE DDS PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	13910	TX

General Provider Information

NPI Number	:	1083717656
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL D LOUIE DDS PHD

Provider Business Mailing Address
First Line	:	4770 W BELLFORT
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77035
Country	:	US
Telephone Number	:	713-721-2426
Fax Number	:	713-726-9629

Provider Business Practice Location Address
First Line	:	4770 W BELLFORT
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77035
Country	:	US
Telephone Number	:	713-721-2426
Fax Number	:	713-726-9629

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2006
Last Update Date	:	07/08/2007

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