Provider Demographics
NPI:1598710501
Name:CAI, TUNG HUU (MD)
Entity Type:Individual
Prefix:
First Name:TUNG
Middle Name:HUU
Last Name:CAI
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 1:2900 N INTERSTATE 35 STE 400
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-5148
Mailing Address - Country:US
Mailing Address - Phone:940-323-3655
Mailing Address - Fax:
Practice Address - Street 1:2900 N INTERSTATE 35 STE 400
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-5148
Practice Address - Country:US
Practice Address - Phone:940-323-3655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL4875208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX445457YKTPMedicare PIN
TXG97777Medicare UPIN
TX8A0001Medicare ID - Type UnspecifiedMEDICARE ID IN GROUP
TX159063001Medicaid
TX158904601Medicaid
TX00223UMedicare ID - Type UnspecifiedGROUP MEDICARE