Louisea Marie Raymun Bonoan Deomampo, M.D.

Primary specialty

Body Imaging PhysicianTaxonomy code 2085B0100X

License

TP10026846 Issued in TX

Practice address

University of Texas Medical Branch- Radiology
301 University Boulevard Route 0709
Galveston, TX 77555-0709

Phone

(409) 772-2496

Fax

(409) 747-2825

NPI assigned

Oct 3, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191369600000",
    "number": "1326235359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF TEXAS MEDICAL BRANCH- RADIOLOGY",
            "address_2": "301 UNIVERSITY BOULEVARD ROUTE 0709",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775550709",
            "telephone_number": "409-772-2496",
            "fax_number": "409-747-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF TEXAS MEDICAL BRANCH- RADIOLOGY",
            "address_2": "301 UNIVERSITY BOULEVARD ROUTE 0709",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775550709",
            "telephone_number": "409-772-2496",
            "fax_number": "409-747-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEOMAMPO",
        "first_name": "LOUISEA MARIE RAYMUN",
        "middle_name": "BONOAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-03",
        "last_updated": "2007-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "TX",
            "license": "TP10026846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roy Lee Dennis III, DO
• Denson Texas Holdings LLC
• Dental Group, P.C.
• Dental Group, PC (Affordable Dental)
• Ekamjit Singh Deol, MD
• Department of Veterans Affairs
• Dermopath Laboratories, L.L.C.
• Cynthia Desanto, FNP
• Sarah Desoky, MD
• Karthik Devarajan, M.D., M.B.A.

• Body Imaging Physician in Galveston, TX
• Providers in Galveston, TX by specialty
• Body Imaging Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.