| Doctor Name: | DR. LOUISEA MARIE RAYMUN BONOAN DEOMAMPO |
| NPI Number: | 1326235359 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | TP10026846 |
| Business Practice Address: | University Of Texas Medical Branch- Radiology 301 University Boulevard Route 0709 Galveston, TX - 775550709 |
| Business Phone Number: | 4097722496 |
| Business Fax Number: | 4097472825 |
| Mailing Address: | University Of Texas Medical Branch- Radiology, 301 University Boulevard Route 0709 GALVESTON |
| State: | TX |
| Postal Code: | 775550709 |
| Phone Number: | 4097722496 |
| Fax Number: | 4097472825 |
| NPI Enumeration Date: | 10/03/2007 |
| NPI Last Update Date: | 10/03/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | TP10026846 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |