Individual
EMMA KAY RENEE LOUCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-2222
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-2222
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
M1888
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176296501
—
TX
Enumeration date
12/06/2006
Last updated
04/05/2019
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