Provider Demographics
NPI:1023208170
Name:TSING, JASON TUN HUA SR (OMD)
Entity Type:Individual
Prefix:MR
First Name:JASON
Middle Name:TUN HUA
Last Name:TSING
Suffix:SR
Gender:M
Credentials:OMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 W WALL ST STE 103
Mailing Address - Street 2:
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-7419
Mailing Address - Country:US
Mailing Address - Phone:817-527-6077
Mailing Address - Fax:817-488-6244
Practice Address - Street 1:6407 COLLEYVILLE BLVD STE B
Practice Address - Street 2:
Practice Address - City:COLLEYVILLE
Practice Address - State:TX
Practice Address - Zip Code:76034-6279
Practice Address - Country:US
Practice Address - Phone:817-527-6077
Practice Address - Fax:817-796-7694
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-25
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX00108171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1023208170OtherACUPUNCTURE
TX1023208170Medicaid