Basic Information
| Provider Information | |||||||||
| NPI: | 1215236799 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TAN | ||||||||
| FirstName: | WEIYI | ||||||||
| MiddleName: | |||||||||
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| Credential: | M.D, M.P.H. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 845347 | ||||||||
| Address2: | |||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752847208 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2146458000 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2001 INWOOD ROAD | ||||||||
| Address2: | WEST CAMPUS BUILDING 3, 5TH FLOOR | ||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 753908358 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2146458000 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/23/2011 | ||||||||
| LastUpdateDate: | 11/23/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 11/22/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RI0011X | A122835 | CA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Interventional Cardiology | 208000000X | A122835 | CA | N | Allopathic & Osteopathic Physicians | Pediatrics | 207RI0011X | T2075 | TX | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Interventional Cardiology | 207RA0002X | T2075 | TX | N | 193200000X MULTI-SPECIALTY GROUP | 207RA0002X | A122835 | CA | N | 207R00000X | A122835 | CA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RC0000X | A122835 | CA | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease | 207RC0000X | T2075 | TX | N | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
No ID Information.