Provider Demographics
NPI:1417317033
Name:ANDREW TANG MD PA
Entity Type:Organization
Organization Name:ANDREW TANG MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AN
Authorized Official - Middle Name:THIEN
Authorized Official - Last Name:TANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-319-4486
Mailing Address - Street 1:PO BOX 841636
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77284-1636
Mailing Address - Country:US
Mailing Address - Phone:281-858-4888
Mailing Address - Fax:281-858-4846
Practice Address - Street 1:16506 FM 529 RD STE 116
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-1462
Practice Address - Country:US
Practice Address - Phone:281-858-4888
Practice Address - Fax:281-858-4846
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-24
Last Update Date:2016-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM5537207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty