Provider Demographics
NPI:1346627684
Name:CALVIN N. TSAO, MD, PA
Entity Type:Organization
Organization Name:CALVIN N. TSAO, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CALVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:TSAO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-524-4168
Mailing Address - Street 1:5090 RICHMOND AVE
Mailing Address - Street 2:#634
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-7402
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7850 PARKWOOD CIRCLE DR
Practice Address - Street 2:#A-6
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-6759
Practice Address - Country:US
Practice Address - Phone:713-772-8885
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-06
Last Update Date:2015-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2162208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Single Specialty