MEDICARE: AMY JEW 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	390200000X	Student in an Organized Health Care Education/Training Program
2	2080N0001X	Neonatal-Perinatal Medicine Physician	N6727	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811221534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY JEW TSAI M.D.

Provider Business Mailing Address
First Line	:	PO BOX 270898
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77277-0898
Country	:	US
Telephone Number	:	713-796-0003
Fax Number	:	713-796-0005

Provider Business Practice Location Address
First Line	:	5615 KIRBY DRIVE
Second Line	:	SUITE 440
City	:	HOUSTON
State	:	TX
Zip	:	77005-2444
Country	:	US
Telephone Number	:	713-796-0003
Fax Number	:	713-796-0005

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

Provider Enumeration Date	:	09/28/2009
Last Update Date	:	09/06/2013

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