Provider Demographics
NPI:1235292772
Name:TSU, HORACE (MD)
Entity Type:Individual
Prefix:DR
First Name:HORACE
Middle Name:
Last Name:TSU
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 1:2421 STREAMVIEW DR
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20603-3923
Mailing Address - Country:US
Mailing Address - Phone:301-442-2585
Mailing Address - Fax:
Practice Address - Street 1:5201 LEESBURG PIKE
Practice Address - Street 2:SUITE 1012
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22041-3213
Practice Address - Country:US
Practice Address - Phone:703-681-8006
Practice Address - Fax:703-681-8050
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0036575171000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171000000XOther Service ProvidersMilitary Health Care Provider