Doctor Name: | EDWARD T SHIN |
NPI Number: | 1427084433 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | L7179 |
Business Practice Address: | 5804 Communications Pkwy Ste 100 Plano, TX - 750937810 |
Business Phone Number: | 9727724539 |
Business Fax Number: | 9727728099 |
Mailing Address: | Po Box 262349, PLANO |
State: | TX |
Postal Code: | 750262349 |
Phone Number: | 9727724539 |
Fax Number: | 9727728099 |
NPI Enumeration Date: | 06/23/2006 |
NPI Last Update Date: | 06/16/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | L7179 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |