Tan, Thomas

Tan, Thomas is an individual health care provider with primary practice located at 4110 Guadalupe St Attn: Reimbursement, Austin TX 78751-4223. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Tan, Thomas can be contacted via phone (512) 419-2731.

Contact Information

Primary practice address
4110 Guadalupe St Attn: Reimbursement Austin TX 78751-4223
Phone: (512) 419-2731
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X E8271 Texas
Allopathic & Osteopathic Physicians / Forensic Psychiatry 2084F0202X E8271 Texas
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X E8271 Texas

Profile Details

NPI number 1215018700
LBN Legal business name Tan, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Dec 15th, 2010 - about 14 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 1215018700 NPPES
Texas MEDICAID 116388301
Texas MEDICAID 1163883 02

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