Provider Demographics
NPI:1962447755
Name:TSAO, CALVIN N (MD)
Entity Type:Individual
Prefix:DR
First Name:CALVIN
Middle Name:N
Last Name:TSAO
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 1:7850 PARKWOOD CIRCLE DR
Mailing Address - Street 2:SUITE A6
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-6759
Mailing Address - Country:US
Mailing Address - Phone:713-772-8885
Mailing Address - Fax:713-772-7825
Practice Address - Street 1:505 S 336TH ST STE 500
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-8300
Practice Address - Country:US
Practice Address - Phone:206-962-3535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2162207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8AJ711OtherBLUECROSS BLUESHIELD
TX8AJ711OtherBLUECROSS BLUESHIELD
TXI61289Medicare UPIN