Qingguo Tao, M.d., P.a. | |
9600 Bellaire Blvd Ste 200 Houston TX 77036-4533 | |
(832) 831-6140 | |
(713) 701-7281 |
Full Name | Qingguo Tao, M.d., P.a. |
---|---|
Speciality | Internal Medicine |
Location | 9600 Bellaire Blvd Ste 200, Houston, Texas |
Authorized Official Name and Position | Qingguo Tao (PRESIDENT) |
Authorized Official Contact | 8323487886 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Qingguo Tao, M.d., P.a. Po Box 1212 Bellaire TX 77402-1212 Ph: (832) 348-7886 | Qingguo Tao, M.d., P.a. 9600 Bellaire Blvd Ste 200 Houston TX 77036-4533 Ph: (832) 831-6140 |
NPI Number | 1376815910 |
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Provider Enumeration Date | 01/28/2012 |
Last Update Date | 08/30/2021 |
Medicare PECOS PAC ID | 5991961443 |
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Medicare Enrollment ID | O20120727000143 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376815910 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | N6061 (Texas) | Primary |
Provider Name | Qingguo Tao |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1093956476 PECOS PAC ID: 5395888218 Enrollment ID: I20110311000457 |
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