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General NPI Number Information
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NPI Number | 1437227527
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Entity Type | Organization
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Legal Business Name | TIMOTHY T TANG MD PA
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 06/27/2019
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Provider Practice Location Address
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Address Line | 17531 FM 529 SUITE 100
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City | HOUSTON
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State | TX
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Zip | 77095-1182
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Country | US
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Telephone | 281-858-4888
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Fax | 281-858-4846
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Provider Business Mailing Address
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Address Line | PO BOX 841636
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City | HOUSTON
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State | TX
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Zip | 77082
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Country | US
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Telephone | 281-558-9016
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Fax | 281-558-1084
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Authorized Official
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Title or Position | PHYSICIAN PRESIDENT
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Name | DR. TIMOTHY T TANG
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Credential | MD
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Telephone | 281-858-4888
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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 | J5204
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License Number State | TX
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