Individual
DR. JEREMY LOUISSAINT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6201 HARRY HINES BLVD, DALLAS, TX 75390-3720
(214) 633-5555
Mailing address
PO BOX 845347, DALLAS, TX 75284-7208
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2015017601
MO
207RG0100X
Gastroenterology Physician
308785-01
NY
207RG0100X
Gastroenterology Physician
Primary
T6952
TX
Other
Enumeration date
06/15/2015
Last updated
08/01/2022
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