Thomas Chang Tan, MD | |
1515 Holcombe Blvd, Houston, TX 77030-4000 | |
(713) 792-6161 | |
Not Available |
Full Name | Thomas Chang Tan |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1515 Holcombe Blvd, Houston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417189184 | NPI | - | NPPES |
P00879696 | Other | RAILROAD THRU HEB | |
215546701 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 254392 (New York) | Secondary |
207P00000X | Emergency Medicine | N4780 (Texas) | Primary |
Entity Name | Integrative Emergency Services Physician Group-houston Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801458708 PECOS PAC ID: 7113258500 Enrollment ID: O20191016002208 |
Mailing Address | Practice Location Address |
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Thomas Chang Tan, MD Po Box 4439, Houston, TX 77210-4439 Ph: (713) 792-2991 | Thomas Chang Tan, MD 1515 Holcombe Blvd, Houston, TX 77030-4000 Ph: (713) 792-6161 |
Dr. Taketo Baba, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6621 Fannin St, Houston, TX 77030 Phone: 832-824-1000 | |
Aisha C Haynie, MD, MPA Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2223 West Loop S, Houston, TX 77027 Phone: 713-439-6913 | |
Hashim Zaidi, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6411 Fannin St, Houston, TX 77030 Phone: 713-500-7878 | |
Lesley Anne Osborn, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6431 Fannin St, Suite Jjl 431, Houston, TX 77030 Phone: 713-500-7878 Fax: 713-500-0758 | |
Dr. Miguel A Nieto, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1504 Taub Loop, Emergency Center, Houston, TX 77030 Phone: 713-873-7045 | |
Dr. Louis Bruno Fornage, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1504 Taub Loop, Houston, TX 77030 Phone: 713-873-3060 Fax: 713-873-2325 | |
Thomas Alan Gerbus, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6431 Fannin St Ste Jjl 431, Houston, TX 77030 Phone: 713-500-7878 Fax: 713-500-0758 |