Provider Demographics
NPI:1376641571
Name:TSAI, JAMIE GILBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:GILBERT
Last Name:TSAI
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 1:2950 UNITY
Mailing Address - Street 2:STE 571641
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77257-1641
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2950 UNITY
Practice Address - Street 2:STE 571641
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77257-1641
Practice Address - Country:US
Practice Address - Phone:713-516-4655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2013-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM49692085R0202X
CAA1084412085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACA995XMedicare PIN
CACA995VMedicare PIN
CACA995YMedicare PIN
TX612736Medicare ID - Type Unspecified
CACA995ZMedicare PIN
TXI72227Medicare UPIN
CACA995WMedicare PIN
CACA995UMedicare PIN