Provider Demographics
NPI:1962782029
Name:LOUIE, TRACEY YINGQI (MD)
Entity type:Individual
Prefix:
First Name:TRACEY
Middle Name:YINGQI
Last Name:LOUIE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21216 NORTHWEST FWY STE 470
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-4697
Mailing Address - Country:US
Mailing Address - Phone:281-469-2838
Mailing Address - Fax:
Practice Address - Street 1:21216 NORTHWEST FWY STE 470
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-4697
Practice Address - Country:US
Practice Address - Phone:281-469-2838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-22
Last Update Date:2021-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY274034208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics