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Provider Information for 1912001611



DR. DAVID R TANG DDS

Gender: MALE

Individual NPI: 1912001611

Calendar Last Updated: 2007-07-08

Details

Name Value
NPI 1912001611
Enumeration Date 2006-09-12
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 14740 BARRYKNOLL LN STE 120
HOUSTON, TX 77079-2883
United States

Phone: 281-584-0550 | Fax: 281-584-0589
View Map External Link
Primary Practice Address 14740 BARRYKNOLL LN STE 120
HOUSTON, TX 77079-2883
United States

Phone: 281-584-0550 | Fax: 281-584-0589
View Map External Link
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223P0221X - Dentist Pediatric Dentistry TX 16942
Other Identifiers
Issuer State Number