Provider Demographics
NPI:1922038652
Name:TSUCHIDA, DOUGLAS S (MD)
Entity Type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:S
Last Name:TSUCHIDA
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 1:915 GESSNER ROAD
Mailing Address - Street 2:STE.# 815
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2014-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF0055207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF0055OtherLICENSE
TX00EB76Medicare PIN
TXB27113Medicare UPIN