Organization
BELLAIRE DOCTORS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY Y. TSAO MD (PRESIDENT)
(713) 772-8885
Entity
Organization
Contact information
Practice address
7850 PARKWOOD CIRCLE DR, A-6, HOUSTON, TX 77036-6759
(713) 772-8885
(713) 772-7825
Mailing address
7850 PARKWOOD CIRCLE DR, A-6, HOUSTON, TX 77036-6759
(713) 772-8885
(713) 772-7825
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J6779
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0020QD
BLUE CROSS BLUE SHIELD
TX
05
—
096478502
—
TX
Enumeration date
06/11/2006
Last updated
03/07/2008
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