MEDICARE: MR. FAISAL TAI MD

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	MD61496030	WA
2	2084P0800X	Psychiatry Physician	2024017647	MO
3	2084P0800X	Psychiatry Physician	01091858A	IN
4	2084P0800X	Psychiatry Physician	S0806	TX
5	2084P0800X	Psychiatry Physician	69821	TN
6	2084P0800X	Psychiatry Physician	97587	GA
7	2084P0800X	Psychiatry Physician	71709	AZ
8	2084P0800X	Psychiatry Physician	MD-43634	IA
9	2084P0800X	Psychiatry Physician	ME168750	FL
10	2084P0800X	Psychiatry Physician	61496030	WA
11	2084P0800X	Psychiatry Physician	036167358	IL
12	2084P0800X	Psychiatry Physician	C197794	CA
13	2084P0800X	Psychiatry Physician	R-10052	IA

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1619381316
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. FAISAL TAI MD

Provider Business Mailing Address
First Line	:	7877 WILLOW CHASE BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-5934
Country	:	US
Telephone Number	:	832-869-4818
Fax Number	:	832-869-4853

Provider Business Practice Location Address
First Line	:	7877 WILLOW CHASE BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-5934
Country	:	US
Telephone Number	:	832-869-4818
Fax Number	:	832-869-4853

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2014
Last Update Date	:	12/05/2025