MEDICARE: DR. QUOC-ANH THAI 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	207T00000X	Neurological Surgery Physician	N9655	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8CV353	OTHER	TX	BCBSTX

General Provider Information

NPI Number	:	1558328278
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. QUOC-ANH THAI MD

Provider Business Mailing Address
First Line	:	18123 UPPER BAY RD STE 400
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-3875
Country	:	US
Telephone Number	:	713-363-8772
Fax Number	:	713-799-9639

Provider Business Practice Location Address
First Line	:	18123 UPPER BAY RD STE 400
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-3875
Country	:	US
Telephone Number	:	713-363-8772
Fax Number	:	713-799-9639

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

Provider Enumeration Date	:	04/27/2006
Last Update Date	:	04/02/2026

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