Physician Compare National (NPI:1093956476)

HEALTHCARE PROVIDER: QINGGUO TAO MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1093956476
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5395888218
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110311000457
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	TAO
	Individual professional last name
Provider First Name	QINGGUO
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1987
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	9600 BELLAIRE BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 200
	Group Practice or individual's line 2 address
City	HOUSTON
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	770364533
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450184
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MEMORIAL HERMANN HOSPITAL SYSTEM
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450324
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	TEXOMA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	450039
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	JPS HEALTH NETWORK
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	450743
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	450032
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	GOOD SHEPHERD MEDICAL CENTER MARSHALL
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1093956476)

HEALTHCARE PROVIDER: QINGGUO TAO MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information