Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | ME126688 | FL |
Y | 207RH0002X | Hospice and Palliative Medicine | 18892 | NV |
NPI | 1124385273 |
---|---|
Provider Name | Dr. Joey Louis |
First Address | Henderson, NV 89052-2982 |
Second Address | Henderson, NV 89052 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2012 |
Last Update Date | 14/10/2019 |