MEDICARE: DR. JAMIE GILBERT 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	2085R0202X	Diagnostic Radiology Physician	M4969	TX
2	2085R0202X	Diagnostic Radiology Physician	A108441	CA

General Provider Information

NPI Number	:	1376641571
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMIE GILBERT TSAI M.D.

Provider Business Mailing Address
First Line	:	2950 UNITY
Second Line	:	STE 571641
City	:	HOUSTON
State	:	TX
Zip	:	77257-1641
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2950 UNITY
Second Line	:	STE 571641
City	:	HOUSTON
State	:	TX
Zip	:	77257-1641
Country	:	US
Telephone Number	:	713-516-4655
Fax Number	:

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

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	08/09/2013

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