Provider Demographics
NPI:1598072381
Name:DOUGLAS S TSUCHIDA MD PA
Entity Type:Organization
Organization Name:DOUGLAS S TSUCHIDA MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:S
Authorized Official - Last Name:TSUCHIDA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-827-1000
Mailing Address - Street 1:915 GESSNER RD
Mailing Address - Street 2:SUITE 815
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2527
Mailing Address - Country:US
Mailing Address - Phone:713-827-1000
Mailing Address - Fax:713-722-0639
Practice Address - Street 1:915 GESSNER RD
Practice Address - Street 2:SUITE 815
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2527
Practice Address - Country:US
Practice Address - Phone:713-827-1000
Practice Address - Fax:713-722-0639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-01
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF0055207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF0055OtherLICENSE
TXB27113Medicare UPIN
TXF0055OtherLICENSE