MEDICARE: DENNIS TANG MD

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	207R00000X	Internal Medicine Physician	J7859	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	110246153	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8F6726	OTHER	TX	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	5580763	OTHER	TX	AETNA
5	87608Z	OTHER	TX	HMO BLUE

General Provider Information

NPI Number	:	1154315349
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENNIS TANG MD

Provider Business Mailing Address
First Line	:	450 W MEDICAL CENTER BLVD STE 400
Second Line	:
City	:	WEBSTER
State	:	TX
Zip	:	77598-4233
Country	:	US
Telephone Number	:	281-316-6064
Fax Number	:	281-316-6242

Provider Business Practice Location Address
First Line	:	450 W MEDICAL CENTER BLVD STE 400
Second Line	:
City	:	WEBSTER
State	:	TX
Zip	:	77598-4233
Country	:	US
Telephone Number	:	281-316-6064
Fax Number	:	281-316-6242

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

Provider Enumeration Date	:	09/02/2005
Last Update Date	:	01/28/2022

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Directions to “ DENNIS TANG MD” Practice Location

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