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General NPI Number Information
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NPI Number | 1083728257
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Entity Type | Individual
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Provider Name | DAVID CHAN TANG CRNA
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Gender | Male
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 6720 BERTNER AVE
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City | HOUSTON
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State | TX
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Zip | 77030-2604
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Country | US
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Telephone | 832-355-2666
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Fax |
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Provider Business Mailing Address
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Address Line | 6501 FANNIN ST STE NC114
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City | HOUSTON
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State | TX
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Zip | 77030-2703
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Country | US
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Telephone | 713-798-7356
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 675961
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 675961
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | AP113646
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License Number State | TX
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