MEDICARE: QINGGUO TAO, M.D., P.A.

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	N6061	TX

General Provider Information

NPI Number	:	1376815910
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QINGGUO TAO, M.D., P.A.

Provider Business Mailing Address
First Line	:	PO BOX 1212
Second Line	:
City	:	BELLAIRE
State	:	TX
Zip	:	77402-1212
Country	:	US
Telephone Number	:	832-348-7886
Fax Number	:	832-203-4686

Provider Business Practice Location Address
First Line	:	9600 BELLAIRE BLVD STE 200
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-4533
Country	:	US
Telephone Number	:	832-831-6140
Fax Number	:	713-701-7281

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. QINGGUO TAO
Credential	:	MD
Telephone Number	:	832-348-7886

Provider Enumeration Date	:	01/28/2012
Last Update Date	:	08/30/2021

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