MEDICARE: EDWARD K TSAI DO

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	1252	NV

General Provider Information

NPI Number	:	1124095195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDWARD K TSAI DO

Provider Business Mailing Address
First Line	:	7377 S JONES BLVD STE 107
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89139
Country	:	US
Telephone Number	:	702-896-4433
Fax Number	:	702-896-4438

Provider Business Practice Location Address
First Line	:	7377 S JONES BLVD STE 107
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89139
Country	:	US
Telephone Number	:	702-896-4433
Fax Number	:	702-896-4438

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

Provider Enumeration Date	:	03/08/2006
Last Update Date	:	05/30/2008

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