| Medical Center East | |
|
7112 Lyons Ave Houston TX 77020-5361 | |
| (713) 672-2593 | |
| (713) 672-7477 |
| Full Name | Medical Center East |
|---|---|
| Speciality | Internal Medicine |
| Location | 7112 Lyons Ave, Houston, Texas |
| Authorized Official Name and Position | Edward K Tse (PRESIDENT / M.D.) |
| Authorized Official Contact | 7136722593 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Center East 7112 Lyons Ave Houston TX 77020-5361 Ph: (713) 672-2593 | Medical Center East 7112 Lyons Ave Houston TX 77020-5361 Ph: (713) 672-2593 |
| NPI Number | 1306844014 |
|---|---|
| Provider Enumeration Date | 07/07/2005 |
| Last Update Date | 11/14/2007 |
| Medicare PECOS PAC ID | 1355407743 |
|---|---|
| Medicare Enrollment ID | O20090310000584 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306844014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G4413 (Texas) | Secondary |
| 207R00000X | Internal Medicine | G4413 (Texas) | Primary |
| 208D00000X | General Practice | G4413 (Texas) | Secondary |
| Provider Name | Edward K Tse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881692531 PECOS PAC ID: 4082770474 Enrollment ID: I20090310000576 |
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