Basic Information
Provider Information
NPI: 1073873782
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TSUNG
FirstName: ANN
MiddleName: HANYI
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 900 HENDERSON AVE APT 2205
Address2:  
City: HOUSTON
State: TX
PostalCode: 770583831
CountryCode: US
TelephoneNumber: 7135600866
FaxNumber:  
Practice Location
Address1: 1504 TAUB LOOP
Address2:  
City: HOUSTON
State: TX
PostalCode: 770301608
CountryCode: US
TelephoneNumber: 7138737336
FaxNumber: 7138736604
Other Information
ProviderEnumerationDate: 05/29/2012
LastUpdateDate: 06/26/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/26/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000XQ5941TXN Allopathic & Osteopathic PhysiciansHospitalist 
207P00000XQ5941TXY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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