Healthcare Provider Details

I. General information

NPI: 1710187646
Provider Name (Legal Business Name): MARTHA TZOU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/19/2007
Last Update Date: 03/20/2023
Certification Date: 03/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6431 FANNIN ST MSB 1.150
HOUSTON TX
77030-1501
US

IV. Provider business mailing address

6431 FANNIN ST MSB 1.150
HOUSTON TX
77030-1501
US

V. Phone/Fax

Practice location:
  • Phone: 703-500-6549
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberQ0196
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: