Individual
XISHI TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18220 STATE HIGHWAY 249 STE 365, HOUSTON, TX 77070-4377
(281) 737-0930
Mailing address
18220 STATE HIGHWAY 249 STE 400, HOUSTON, TX 77070-4349
(281) 737-0930
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
BP10036870
TX
208800000X
Urology Physician
Primary
Q5578
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
361617901
—
TX
Enumeration date
06/21/2010
Last updated
08/18/2025
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