Organization
EDWARD H TAN M D P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD H TAN MD (PRESIDENT)
(956) 630-2225
Entity
Organization
Contact information
Practice address
612 NOLANA ST STE 330, MCALLEN, TX 78504-3088
(956) 630-2225
(956) 630-2275
Mailing address
PO BOX 720010, MCALLEN, TX 78504-0010
(956) 630-2225
(956) 630-2275
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0A5858
MEDICARE ID
TX
05
—
131136703
—
TX
Enumeration date
01/03/2007
Last updated
03/24/2010
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