Basic Information
Provider Information
NPI: 1346260148
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TSAI
FirstName: JOANNE
MiddleName: E
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7800 SHOAL CREEK BLVD
Address2: SUITE 205N
City: AUSTIN
State: TX
PostalCode: 787571098
CountryCode: US
TelephoneNumber: 5122064341
FaxNumber: 5124071947
Practice Location
Address1: 3801 N LAMAR BLVD
Address2: SUITE 300
City: AUSTIN
State: TX
PostalCode: 787564080
CountryCode: US
TelephoneNumber: 5122063600
FaxNumber: 5122063604
Other Information
ProviderEnumerationDate: 07/21/2006
LastUpdateDate: 07/15/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/15/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000XK9949TXN Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
207RC0000X707274CAY Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

ID Information
IDTypeStateIssuerDescription
A9349701CASTATE MEDICAL LICENSEOTHER


Home