Provider Demographics
NPI:1093956476
Name:TAO, QINGGUO (MD)
Entity Type:Individual
Prefix:DR
First Name:QINGGUO
Middle Name:
Last Name:TAO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1212
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77402-1212
Mailing Address - Country:US
Mailing Address - Phone:832-348-7886
Mailing Address - Fax:823-203-4686
Practice Address - Street 1:9600 BELLAIRE BLVD STE 200
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-4533
Practice Address - Country:US
Practice Address - Phone:832-831-6140
Practice Address - Fax:713-701-7281
Is Sole Proprietor?:No
Enumeration Date:2009-03-16
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK27483207R00000X
TXN6061207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine