Provider Demographics
NPI:1376210195
Name:LOUIS, DIANA
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:
Last Name:LOUIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4702 N 7TH ST
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79603-6510
Mailing Address - Country:US
Mailing Address - Phone:325-338-5740
Mailing Address - Fax:361-298-2238
Practice Address - Street 1:4702 N 7TH ST
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79603-6510
Practice Address - Country:US
Practice Address - Phone:325-338-5740
Practice Address - Fax:361-298-2238
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-28
Last Update Date:2021-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy