Individual
DR. MICHAEL JAY TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
P9469
TX
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
P9469
TX
208M00000X
Hospitalist Physician
2013005695
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
341739604
—
TX
01
—
341739605
MEDICAID-CSHCN
TX
01
—
8LR235
BCBS
TX
Enumeration date
06/28/2010
Last updated
11/18/2019
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