Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | L-217520 | MA |
Y | 207ND0900X | Dermatopathologist | M9706 | TX |
NPI | 1699801308 |
---|---|
Provider Name | Dr. Kenneth Yee Tsai |
First Address | Houston, TX 77030-4000 |
Second Address | Houston, TX 77030-4000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2007 |
Last Update Date | 21/05/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
193597501 | (05) | TX |
193597502 | CSHCN (01) | TX |
8BH420 | BCBSTX (01) | TX |