Robert S Tan, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

K6940 Issued in TX

Practice address

3311 Richmond Ave Ste 205
Houston, TX 77098-3050

Phone

(713) 401-9396

Fax

(713) 490-3543

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1114952835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4256 DARTMOUTH AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770051024",
            "telephone_number": "713-349-0741",
            "fax_number": "713-490-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 RICHMOND AVE STE 205",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770983050",
            "telephone_number": "713-401-9396",
            "fax_number": "713-490-3543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "ROBERT",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "K6940",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K6940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044948001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "86657J",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Tan
• Miguel Nokeng Tan, MD
• Mimi Chang Tan, M.D., M.P.H.
• Raechell May Tan
• Raymond Tan, PTA
• Stephen Lon Tan, DMD
• Thomas Chang Tan, M.D.
• Wan Ling Tan, DDS
• Xishi Tan, M.D.
• Xue Li Samantha Tan, MED

• Family Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.