| Ryan T. Thai, MD | |
|
3918 Leeland St Houston TX 77003-5648 | |
| (713) 528-3400 | |
| (713) 528-3377 |
| Full Name | Ryan T. Thai, MD |
|---|---|
| Speciality | Family Medicine |
| Location | 3918 Leeland St, Houston, Texas |
| Authorized Official Name and Position | Ryan T Thai (OWNER/MD) |
| Authorized Official Contact | 7135283400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan T. Thai, MD 3918 Leeland St Houston TX 77003-5648 Ph: (713) 528-3400 | Ryan T. Thai, MD 3918 Leeland St Houston TX 77003-5648 Ph: (713) 528-3400 |
| NPI Number | 1023121274 |
|---|---|
| Provider Enumeration Date | 08/15/2006 |
| Last Update Date | 05/26/2011 |
| Medicare PECOS PAC ID | 9436107893 |
|---|---|
| Medicare Enrollment ID | O20050112000425 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023121274 | NPI | - | NPPES |
| 151738501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L0947 (Texas) | Primary |
| Provider Name | Ryan Thai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568463891 PECOS PAC ID: 0840244067 Enrollment ID: I20051207000261 |
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