Individual
ALVIN RAYMOND CO TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2510 W GRAND PKWY N, KATY, TX 77449-2853
(713) 442-4222
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
P6925
TX
207RN0300X
Nephrology Physician
P6925
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
367163803
—
TX
Enumeration date
03/31/2016
Last updated
06/22/2021
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