Tan, Edward H

Tan, Edward H is an individual health care provider with primary practice located at 612 Nolana St , Mcallen TX 78504-3088. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Tan, Edward H can be contacted via phone (956) 630-2225.

Contact Information

Primary practice address
612 Nolana St Mcallen TX 78504-3088
Phone: (956) 630-2225
Fax: (956) 630-2275
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X J5034 Texas

Profile Details

NPI number 1457300758
LBN Legal business name Tan, Edward H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2006
Last updated Mar 22nd, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457300758 NPPES
Texas Other 0071EY BLUE CROSS
Texas MEDICAID 131136703 BLUE CROSS
Texas Other 8F23844 BLUE CROSS

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