Provider Demographics
NPI:1528161759
Name:TSAI, LISA R (MD)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:R
Last Name:TSAI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4655 SWEETWATER BLVD STE 225
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-3157
Mailing Address - Country:US
Mailing Address - Phone:287-242-5992
Mailing Address - Fax:287-242-5952
Practice Address - Street 1:4655 SWEETWATER BLVD
Practice Address - Street 2:#225
Practice Address - City:SUGARLAND
Practice Address - State:TX
Practice Address - Zip Code:77479
Practice Address - Country:US
Practice Address - Phone:287-242-5992
Practice Address - Fax:287-242-5952
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2013-01-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXTXL3857207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G30389Medicare UPIN