Organization
DANIEL T.L. TAN, M.D., P.A.
Active
Organization
DANIEL T.L. TAN, M.D., P.A.
Active
Other names
Spectrum Psychiatric Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL T. L. TAN M.D. (OWNER)
(713) 779-4200
Entity
Organization
Contact information
Practice address
10101 SOUTHWEST FWY, SUITE 510, HOUSTON, TX 77074-1126
(713) 779-4200
(713) 779-5866
Mailing address
10101 SOUTHWEST FWY, SUITE 510, HOUSTON, TX 77074-1126
(713) 779-4200
(713) 779-5866
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
J3241
TX
2084P0804X
Child & Adolescent Psychiatry Physician
J3241
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10017070
AMERIGROUP MEDICAID #
TX
05
—
132061602
—
TX
Enumeration date
01/30/2007
Last updated
08/29/2013
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