| Timothy T Tang Md Pa | |
|
17531 Fm 529 Suite 100 Houston TX 77095-1182 | |
| (281) 858-4888 | |
| (281) 858-4846 |
| Full Name | Timothy T Tang Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 17531 Fm 529, Houston, Texas |
| Authorized Official Name and Position | Timothy T Tang (PHYSICIAN PRESIDENT) |
| Authorized Official Contact | 2818584888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy T Tang Md Pa Po Box 841636 Houston TX 77082 Ph: (281) 558-9016 | Timothy T Tang Md Pa 17531 Fm 529 Suite 100 Houston TX 77095-1182 Ph: (281) 858-4888 |
| NPI Number | 1437227527 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 06/27/2019 |
| Medicare PECOS PAC ID | 4385721901 |
|---|---|
| Medicare Enrollment ID | O20080407000714 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437227527 | NPI | - | NPPES |
| 096301901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | J5204 (Texas) | Primary |
| Provider Name | Timothy T Tang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093805046 PECOS PAC ID: 0941387567 Enrollment ID: I20080407000711 |
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