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:
Health care specialties
| Specialty | Code | License # | 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 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215018700 | NPPES |
| Texas | MEDICAID | 116388301 | |
| Texas | MEDICAID | 1163883 02 |
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