Healthcare Provider Details

I. General information

NPI: 1952445561
Provider Name (Legal Business Name): PAULUS DARCY TSAI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2007
Last Update Date: 07/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER HI
96859-5001
US

IV. Provider business mailing address

PO BOX 2196
SEQUIM WA
98382
US

V. Phone/Fax

Practice location:
  • Phone: 808-433-3169
  • Fax:
Mailing address:
  • Phone: 360-461-3636
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License NumberMD00043281
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: