Provider Demographics
NPI:1376815910
Name:QINGGUO TAO, M.D., P.A.
Entity Type:Organization
Organization Name:QINGGUO TAO, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:QINGGUO
Authorized Official - Middle Name:
Authorized Official - Last Name:TAO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-348-7886
Mailing Address - Street 1:PO BOX 1212
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77402-1212
Mailing Address - Country:US
Mailing Address - Phone:832-348-7886
Mailing Address - Fax:832-203-4686
Practice Address - Street 1:9600 BELLAIRE BLVD STE 200
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-4533
Practice Address - Country:US
Practice Address - Phone:832-831-6140
Practice Address - Fax:713-701-7281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-28
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN6061207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty