Provider Demographics
NPI:1578319489
Name:TSAI, JASON
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:
Last Name:TSAI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UT SCHOOL OF DENTISTRY DEPARTMENT OF ORAL AND
Mailing Address - Street 2:MAXILLOFACIAL SURGERY 7500 CAMBRIDGE ST. SUITE 6510
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:UT SCHOOL OF DENTISTRY DEPARTMENT OF ORAL AND
Practice Address - Street 2:MAXILLOFACIAL SURGERY 7500 CAMBRIDGE ST. SUITE 6510
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054
Practice Address - Country:US
Practice Address - Phone:713-486-4310
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-30
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program