MEDICARE: MR. ALEXANDER TIU 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	207RP1001X	Pulmonary Disease Physician	J0412	TX
2	207RS0012X	Sleep Medicine (Internal Medicine) Physician	J0412	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00012383	OTHER	TX	MEDICARE RARIL ROAD

General Provider Information

NPI Number	:	1164482519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ALEXANDER TIU MD

Provider Business Mailing Address
First Line	:	22999 HIGHWAY 59 N
Second Line	:	# 214
City	:	KINGWOOD
State	:	TX
Zip	:	77339-4412
Country	:	US
Telephone Number	:	281-359-5010
Fax Number	:	281-359-5131

Provider Business Practice Location Address
First Line	:	22999 HIGHWAY 59 N
Second Line	:	# 214
City	:	KINGWOOD
State	:	TX
Zip	:	77339-4412
Country	:	US
Telephone Number	:	281-359-5010
Fax Number	:	281-359-5131

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

Provider Enumeration Date	:	03/27/2006
Last Update Date	:	11/20/2007

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Directions to “ MR. ALEXANDER TIU MD” Practice Location

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