MEDICARE: ALEXANDER TIU, MD, PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	J0412	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083678882
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALEXANDER TIU, MD, PA

Provider Business Mailing Address
First Line	:	19411 MCKAY DR STE 250
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77338-5713
Country	:	US
Telephone Number	:	832-777-6921
Fax Number	:	281-359-6847

Provider Business Practice Location Address
First Line	:	19411 MCKAY DR STE 250
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77338-5713
Country	:	US
Telephone Number	:	832-777-6921
Fax Number	:	281-359-6847

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ALEXANDER TIU
Credential	:	MD
Telephone Number	:	281-359-5010

Provider Enumeration Date	:	04/17/2006
Last Update Date	:	01/10/2019

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