Provider Demographics
NPI:1861496630
Name:TSAI, JULIE CHI-LUNG (MD)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:CHI-LUNG
Last Name:TSAI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 CAMDEN ST STE 309
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78215-2013
Mailing Address - Country:US
Mailing Address - Phone:210-225-8882
Mailing Address - Fax:210-225-8987
Practice Address - Street 1:311 CAMDEN ST STE 309
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78215-2013
Practice Address - Country:US
Practice Address - Phone:210-225-8882
Practice Address - Fax:210-225-8987
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ9400207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX129707903Medicaid
TX129707903Medicaid
TX82Y020Medicare PIN