Healthcare Provider Details

I. General information

NPI: 1093810806
Provider Name (Legal Business Name): BIN LIN TEH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2002 HOLCOMBE BLVD
HOUSTON TX
77030-4211
US

IV. Provider business mailing address

6803 N GOLD RIVER DR
MISSOURI CITY TX
77459-5070
US

V. Phone/Fax

Practice location:
  • Phone: 713-794-7114
  • Fax:
Mailing address:
  • Phone: 713-481-1645
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberM2834
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: