Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | P9269 | TX |
NPI | 1003135914 |
---|---|
Provider Name | Dr. Elvis Tsang |
First Address | Dallas, TX 75284-0865 |
Second Address | Dallas, TX 75240-6533 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2010 |
Last Update Date | 30/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
339348001 | (05) | TX |
8EL910 | BCBS (01) | TX |
P01410276 | RR (01) | TX |