MEDICARE: DR. DAVID R TANG DDS

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	1223P0221X	Pediatric Dentistry	16942	TX

General Provider Information

NPI Number	:	1912001611
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID R TANG DDS

Provider Business Mailing Address
First Line	:	791 TOWN AND COUNTRY BLVD STE 210
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-3978
Country	:	US
Telephone Number	:	281-822-6600
Fax Number	:	281-822-6605

Provider Business Practice Location Address
First Line	:	791 TOWN AND COUNTRY BLVD STE 210
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-3978
Country	:	US
Telephone Number	:	281-822-6600
Fax Number	:	818-226-6052

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

Provider Enumeration Date	:	09/12/2006
Last Update Date	:	10/17/2025

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