Provider Demographics
NPI:1205803442
Name:TSEN, TONY NAN-RUNG (MD)
Entity type:Individual
Prefix:MR
First Name:TONY
Middle Name:NAN-RUNG
Last Name:TSEN
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:PO BOX 2256
Mailing Address - Street 2:
Mailing Address - City:SEGUIN
Mailing Address - State:TX
Mailing Address - Zip Code:78156-2256
Mailing Address - Country:US
Mailing Address - Phone:830-372-9042
Mailing Address - Fax:830-372-2391
Practice Address - Street 1:911 S STATE HIGHWAY 123 BYPASS
Practice Address - Street 2:
Practice Address - City:SEGUIN
Practice Address - State:TX
Practice Address - Zip Code:78155-9754
Practice Address - Country:US
Practice Address - Phone:830-372-9042
Practice Address - Fax:830-372-2391
Is Sole Proprietor?:No
Enumeration Date:2006-03-07
Last Update Date:2011-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ8152207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX131242306Medicaid
TX131242306Medicaid
8F6285Medicare PIN