MEDICARE: DR. DAVID B. TSAI M.D.

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	207Q00000X	Family Medicine Physician	L0666	TX
2	2083S0010X	Sports Medicine (Preventive Medicine) Physician	L0666	TX
3	207Q00000X	Family Medicine Physician	9800406	NC

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
2	0000291708	OTHER	HI	(HMSA BILLING NUMBER) 0000291708
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083681688
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID B. TSAI M.D.

Provider Business Mailing Address
First Line	:	1600 PERIMETER PARK DR
Second Line	:	SUITE #225
City	:	MORRISVILLE
State	:	NC
Zip	:	27560-8421
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	781 AVENT FERRY RD
Second Line	:	SUITE 206
City	:	HOLLY SPRINGS
State	:	NC
Zip	:	27540-7776
Country	:	US
Telephone Number	:	919-552-8911
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2006
Last Update Date	:	07/09/2013

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