Provider Demographics
NPI:1720002561
Name:VARELA, LOUIS EUGENE (MD)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:EUGENE
Last Name:VARELA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:14770 MEMORIAL DR
Mailing Address - Street 2:STE 220
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-5252
Mailing Address - Country:US
Mailing Address - Phone:281-977-8372
Mailing Address - Fax:281-493-3353
Practice Address - Street 1:14755 NORTH FWY
Practice Address - Street 2:STE 400
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-6508
Practice Address - Country:US
Practice Address - Phone:281-876-2500
Practice Address - Fax:281-876-2574
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2019-02-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXG0572207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXZ04511537Medicaid
TX81V930OtherBCBS
TX81V930OtherBCBS