Provider Demographics
NPI:1821755927
Name:TSANG, DOUGLAS (PA-C)
Entity type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:
Last Name:TSANG
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 N HWY 75
Mailing Address - Street 2:STE 130
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75090-0500
Mailing Address - Country:US
Mailing Address - Phone:903-892-8222
Mailing Address - Fax:866-493-4004
Practice Address - Street 1:2600 N SAM RAYBURN FWY STE 100
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-0500
Practice Address - Country:US
Practice Address - Phone:903-416-3650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-23
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4605363A00000X
TXPA15186363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant