Individual
DENNIS TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
450 W MEDICAL CENTER BLVD STE 400, WEBSTER, TX 77598-4233
(281) 316-6064
(281) 316-6242
Mailing address
450 W MEDICAL CENTER BLVD STE 400, WEBSTER, TX 77598-4233
(281) 316-6064
(281) 316-6242
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J7859
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045342502
—
TX
01
—
110246153
RAILROAD MEDICARE
TX
01
—
5580763
AETNA
TX
01
—
87608Z
HMO BLUE
TX
01
—
8F6726
BCBS
TX
Enumeration date
09/02/2005
Last updated
01/28/2022
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