Provider Demographics
NPI:1114519527
Name:TSAI, JUNGHUA
Entity Type:Individual
Prefix:
First Name:JUNGHUA
Middle Name:
Last Name:TSAI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15000 W AIRPORT BLVD APT 137
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-7243
Mailing Address - Country:US
Mailing Address - Phone:516-589-2752
Mailing Address - Fax:
Practice Address - Street 1:15000 W AIRPORT BLVD APT 137
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77498-7243
Practice Address - Country:US
Practice Address - Phone:516-589-2752
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-07
Last Update Date:2021-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1017636163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse