Provider Demographics
NPI:1770760464
Name:LOUETTA HEALTHCARE
Entity type:Organization
Organization Name:LOUETTA HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TAI
Authorized Official - Middle Name:LE
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:832-236-3050
Mailing Address - Street 1:5527 LOUETTA RD
Mailing Address - Street 2:STE. A
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-7882
Mailing Address - Country:US
Mailing Address - Phone:281-251-8840
Mailing Address - Fax:
Practice Address - Street 1:5527 LOUETTA RD
Practice Address - Street 2:STE. A
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-7882
Practice Address - Country:US
Practice Address - Phone:281-251-8840
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-25
Last Update Date:2008-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC 9086111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty