Healthcare Provider Details

I. General information

NPI: 1912001611
Provider Name (Legal Business Name): DAVID R TANG DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2006
Last Update Date: 10/17/2025
Certification Date: 10/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

791 TOWN AND COUNTRY BLVD STE 210
HOUSTON TX
77024-3978
US

IV. Provider business mailing address

791 TOWN AND COUNTRY BLVD STE 210
HOUSTON TX
77024-3978
US

V. Phone/Fax

Practice location:
  • Phone: 281-822-6600
  • Fax: 818-226-6052
Mailing address:
  • Phone: 281-822-6600
  • Fax: 281-822-6605

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number16942
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: