Provider Demographics
NPI:1619381316
Name:TAI, FAISAL (MD)
Entity type:Individual
Prefix:MR
First Name:FAISAL
Middle Name:
Last Name:TAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:7877 WILLOW CHASE BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-5934
Mailing Address - Country:US
Mailing Address - Phone:832-869-4818
Mailing Address - Fax:832-869-4853
Practice Address - Street 1:7877 WILLOW CHASE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-5934
Practice Address - Country:US
Practice Address - Phone:832-869-4818
Practice Address - Fax:832-869-4853
Is Sole Proprietor?:No
Enumeration Date:2014-06-20
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD614960302084P0800X
AZ717092084P0800X
FLME1687502084P0800X
GA975872084P0800X
IAMD-436342084P0800X
TN698212084P0800X
WA614960302084P0800X
MO20240176472084P0800X
TXS08062084P0800X
IAR-100522084P0800X
IL0361673582084P0800X
CAC1977942084P0800X
IN01091858A2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3979171-01Medicaid