Healthcare Provider Details
I. General information
NPI: 1598028870
Provider Name (Legal Business Name): EUGENIA TSAI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/21/2012
Last Update Date: 06/08/2022
Certification Date: 06/08/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
607 CAMDEN ST STE 108
SAN ANTONIO TX
78215-2100
US
IV. Provider business mailing address
549 E 234TH ST APT 2H
BRONX NY
10470-2454
US
V. Phone/Fax
- Phone: 210-253-3426
- Fax: 210-227-6951
- Phone: 516-974-5982
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RI0008X |
| Taxonomy | Hepatology Physician |
| License Number | S2921 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RG0100X |
| Taxonomy | Gastroenterology Physician |
| License Number | S2921 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: