MEDICARE: DR. MEI-FUN TSAI O.M.D., PH.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	171100000X	Acupuncturist	AC00319	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0047LQ	OTHER	TX	BLUE CROSS & BLUE SHIELD
2	1011684	OTHER	TX	AMERICAN SPECIALTY HEALTH

General Provider Information

NPI Number	:	1114097276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MEI-FUN TSAI O.M.D., PH.D.

Provider Business Mailing Address
First Line	:	5757 WOODWAY DR
Second Line	:	SUITE 170
City	:	HOUSTON
State	:	TX
Zip	:	77057-1514
Country	:	US
Telephone Number	:	713-463-9063
Fax Number	:

Provider Business Practice Location Address
First Line	:	5757 WOODWAY DR
Second Line	:	SUITE 170
City	:	HOUSTON
State	:	TX
Zip	:	77057-1514
Country	:	US
Telephone Number	:	713-463-9063
Fax Number	:

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

Provider Enumeration Date	:	11/08/2006
Last Update Date	:	07/08/2007

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