Individual provider · Type 1 NPI
Louisea Marie Raymun Bonoan Deomampo, MD
Body Imaging Physician · Galveston, TX
NPI number
1326235359
Active
Practice location
University Of Texas Medical Branch- Radiology, 301 University Boulevard Route 0709
Galveston, TX 77555-0709
Fax (409) 747-2825
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Body Imaging Physician Primary | 2085B0100X | TP10026846 (TX) |
Body Imaging Physician: A Radiology doctor of Osteopathy that specializes in Body Imaging.
About NPI 1326235359
Louisea Marie Raymun Bonoan Deomampo, MD's National Provider Identifier is 1326235359, issued on Oct 3, 2007. The primary taxonomy on file is Body Imaging Physician (2085B0100X), and the practice location is in Galveston, TX. The record was last updated on Oct 3, 2007.