Provider Demographics
NPI:1700655487
Name:LOUIS CHARLES, ZOULETTE (NP)
Entity Type:Individual
Prefix:
First Name:ZOULETTE
Middle Name:
Last Name:LOUIS CHARLES
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:NONE
Other - Middle Name:
Other - Last Name:NONE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:806 HILBIG RD
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77301-1448
Mailing Address - Country:US
Mailing Address - Phone:936-520-5926
Mailing Address - Fax:
Practice Address - Street 1:806 HILBIG RD
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77301-1448
Practice Address - Country:US
Practice Address - Phone:936-520-5926
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-22
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11029895363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily