Provider Demographics
NPI:1053380469
Name:TSENG, EWEN Y (MD)
Entity type:Individual
Prefix:
First Name:EWEN
Middle Name:Y
Last Name:TSENG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:8380 WARREN PARKWAY
Mailing Address - Street 2:SUITE 504
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-4197
Mailing Address - Country:US
Mailing Address - Phone:972-596-4005
Mailing Address - Fax:972-985-1253
Practice Address - Street 1:8380 WARREN PARKWAY
Practice Address - Street 2:SUITE 504
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-4197
Practice Address - Country:US
Practice Address - Phone:972-596-4005
Practice Address - Fax:972-985-1253
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-16
Last Update Date:2008-09-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXK3504207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG50515Medicare UPIN