Provider Demographics
NPI:1588555411
Name:LOUIS, TRECELYNN
Entity type:Individual
Prefix:
First Name:TRECELYNN
Middle Name:
Last Name:LOUIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3717 HIGHWAY 3 STE G
Mailing Address - Street 2:
Mailing Address - City:DICKINSON
Mailing Address - State:TX
Mailing Address - Zip Code:77539-8024
Mailing Address - Country:US
Mailing Address - Phone:281-762-0006
Mailing Address - Fax:
Practice Address - Street 1:3717 HIGHWAY 3 STE G
Practice Address - Street 2:
Practice Address - City:DICKINSON
Practice Address - State:TX
Practice Address - Zip Code:77539-8024
Practice Address - Country:US
Practice Address - Phone:281-762-0006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician