Organization Name: | CITY EAST MEDICAL, P.A. |
NPI Number: | 1306844014 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EDWARD K TSE (PRESIDENT / M.D.) |
Mailing Address: | 7112 Lyons Ave Houston |
State: | TX US |
Postal Code: | 770205361 |
Phone Number: | 7136722593 |
Fax Number: | 7136727477 |
NPI Enumeration Date: | 07/07/2005 |
NPI Last Update Date: | 11/14/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | G4413 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |