Individual
LOUISE COOLEY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
C42406
CA
207W00000X
Ophthalmology Physician
E8606
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C42406
—
CA
05
—
00C424060
—
CA
01
—
695651
PIN
CA
01
—
E8606
TEXAS STATE LICENCE
TX
Enumeration date
10/27/2005
Last updated
10/19/2023
Update your record
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