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General NPI Number Information
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NPI Number | 1376815910
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Entity Type | Organization
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Legal Business Name | QINGGUO TAO, M.D., P.A.
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Dates
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Enumeration Date | 01/28/2012
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Last Update Date | 08/30/2021
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Provider Practice Location Address
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Address Line | 9600 BELLAIRE BLVD STE 200
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City | HOUSTON
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State | TX
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Zip | 77036-4533
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Country | US
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Telephone | 832-831-6140
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Fax | 713-701-7281
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Provider Business Mailing Address
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Address Line | PO BOX 1212
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City | BELLAIRE
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State | TX
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Zip | 77402-1212
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Country | US
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Telephone | 832-348-7886
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Fax | 832-203-4686
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. QINGGUO TAO
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Credential | MD
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Telephone | 832-348-7886
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | N6061
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License Number State | TX
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