Provider Demographics
NPI:1629026620
Name:MAI, TUAN H (DPM)
Entity Type:Individual
Prefix:DR
First Name:TUAN
Middle Name:H
Last Name:MAI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10904 SCARSDALE BLVD. #275
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089
Mailing Address - Country:US
Mailing Address - Phone:713-429-4123
Mailing Address - Fax:713-429-5289
Practice Address - Street 1:10904 SCARSDALE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-6035
Practice Address - Country:US
Practice Address - Phone:713-429-4123
Practice Address - Fax:713-429-5289
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTX1570213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU86317Medicare UPIN
TX8B9967Medicare PIN