MEDICARE: TRACEY YINGQI LOUIE MD

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	208000000X	Pediatrics Physician	274034	NY

General Provider Information

NPI Number	:	1962782029
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRACEY YINGQI LOUIE MD

Provider Business Mailing Address
First Line	:	21216 NORTHWEST FWY STE 470
Second Line	:
City	:	CYPRESS
State	:	TX
Zip	:	77429-4697
Country	:	US
Telephone Number	:	281-469-2838
Fax Number	:

Provider Business Practice Location Address
First Line	:	21216 NORTHWEST FWY STE 470
Second Line	:
City	:	CYPRESS
State	:	TX
Zip	:	77429-4697
Country	:	US
Telephone Number	:	281-469-2838
Fax Number	:

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

Provider Enumeration Date	:	08/22/2011
Last Update Date	:	10/16/2021

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