Provider Demographics
NPI:1528427531
Name:TSAI, KATHERINE WINLIN
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:WINLIN
Last Name:TSAI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2828 GREENBRIAR ST APT 1219
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-1455
Mailing Address - Country:US
Mailing Address - Phone:832-466-1957
Mailing Address - Fax:
Practice Address - Street 1:3111 WOODRIDGE
Practice Address - Street 2:STE. 500
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77087
Practice Address - Country:US
Practice Address - Phone:713-847-0071
Practice Address - Fax:713-847-0348
Is Sole Proprietor?:No
Enumeration Date:2016-02-18
Last Update Date:2016-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51974183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist