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Individual

JOSE B TANG JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1631 NORTH LOOP WEST #635, HOUSTON, TX 77008-1536
(713) 880-0218
(713) 864-3514
Mailing address
1631 NORTH LOOP WEST #635, HOUSTON, TX 77008-1536
(713) 880-0218
(713) 864-3514

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D8912
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00361K
MEDICARE GROUP NUMBER
05
0995128-01
TX
Enumeration date
08/26/2006
Last updated
06/20/2011
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