Individual
DR. JACK ALLAN LOUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
711 W 38TH ST, C-2, AUSTIN, TX 78705-1121
(512) 458-6717
(512) 458-1629
Mailing address
711 W 38TH ST, C-2, AUSTIN, TX 78705-1121
(512) 458-6717
(512) 458-1629
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E8676
TX
Other
Enumeration date
11/01/2006
Last updated
07/12/2007
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