Provider Demographics
NPI:1245421346
Name:MICHAEL M PIERRE-LOUIS,M.D.P.A.
Entity Type:Organization
Organization Name:MICHAEL M PIERRE-LOUIS,M.D.P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:MAX
Authorized Official - Last Name:PIERRE-LOUIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-584-8003
Mailing Address - Street 1:808 S SHARY RD STE 5
Mailing Address - Street 2:PMB #245
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-8569
Mailing Address - Country:US
Mailing Address - Phone:956-584-8003
Mailing Address - Fax:956-584-8223
Practice Address - Street 1:2310 E EXPRESSWAY 83
Practice Address - Street 2:STE #3
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-2103
Practice Address - Country:US
Practice Address - Phone:956-584-8003
Practice Address - Fax:956-584-8223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK8423207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00Y747Medicare PIN