| NPI | 1013674332 |
|---|---|
| Doing Business As | ANDRE KS TSE MD |
| Entity Type | Organization |
| Authorized Contact | ASHLEY RENEE LONG Practice Implementation Manager 984-333-2741 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2021-11-22 |
| Last Update Date | 2021-11-22 |