Provider Demographics
NPI:1184634198
Name:TA, UYEN H (MD)
Entity Type:Individual
Prefix:DR
First Name:UYEN
Middle Name:H
Last Name:TA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:6750 WEST LOOP S
Mailing Address - Street 2:#420
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-4103
Mailing Address - Country:US
Mailing Address - Phone:281-220-2069
Mailing Address - Fax:281-569-4267
Practice Address - Street 1:6750 WEST LOOP S
Practice Address - Street 2:#420
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-4103
Practice Address - Country:US
Practice Address - Phone:281-220-2069
Practice Address - Fax:281-569-4267
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2010-07-28
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Provider Licenses
StateLicense IDTaxonomies
TXL3155207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX159714802Medicaid
TX159714802Medicaid
8F24018Medicare PIN