Provider Demographics
NPI:1811017551
Name:LOUIS TRAIN MD
Entity Type:Organization
Organization Name:LOUIS TRAIN MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-664-2021
Mailing Address - Street 1:2626 SOUTH LOOP W
Mailing Address - Street 2:#555
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2654
Mailing Address - Country:US
Mailing Address - Phone:713-664-2021
Mailing Address - Fax:713-664-2059
Practice Address - Street 1:2626 SOUTH LOOP W
Practice Address - Street 2:#555
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2654
Practice Address - Country:US
Practice Address - Phone:713-664-2021
Practice Address - Fax:713-664-2059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE9442207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0101952OtherEVERCARE
TX082678601Medicaid
TX082678601Medicaid
TX00G41PMedicare PIN