Provider Demographics
NPI:1164482519
Name:TIU, ALEXANDER (MD)
Entity type:Individual
Prefix:MR
First Name:ALEXANDER
Middle Name:
Last Name:TIU
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 1:22999 HIGHWAY 59 N
Mailing Address - Street 2:# 214
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-4412
Mailing Address - Country:US
Mailing Address - Phone:281-359-5010
Mailing Address - Fax:281-359-5131
Practice Address - Street 1:22999 HIGHWAY 59 N
Practice Address - Street 2:# 214
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-4412
Practice Address - Country:US
Practice Address - Phone:281-359-5010
Practice Address - Fax:281-359-5131
Is Sole Proprietor?:No
Enumeration Date:2006-03-27
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ0412207RP1001X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00012383OtherMEDICARE RARIL ROAD
TX8A3087Medicare PIN
TXP00012383OtherMEDICARE RARIL ROAD
TX8D4128Medicare PIN