Provider Demographics
NPI:1609814615
Name:TIN-U, CAESAR K (MD)
Entity type:Individual
Prefix:DR
First Name:CAESAR
Middle Name:K
Last Name:TIN-U
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-437-9605
Practice Address - Street 1:1350 FIRST COLONY BLVD
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-4308
Practice Address - Country:US
Practice Address - Phone:281-277-5200
Practice Address - Fax:281-277-7295
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK8526207RH0003X, 207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX038403410Medicaid
TX38403407Medicaid
TX038403405Medicaid
TX038403402Medicaid
TX8R1568OtherBLUE CROSS OF TEXAS
TX38403406Medicaid
TX38403409Medicaid
TX038403404Medicaid
TX8J9086Medicare PIN
TX8898K6Medicare PIN
TX84594KMedicare PIN
TX8C9959Medicare PIN
TX038403404Medicaid
TX38403409Medicaid
TX8R1568OtherBLUE CROSS OF TEXAS
TX8G6427Medicare PIN