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Individual
SHENG YAN
Active
Individual
SHENG YAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1002903
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
429526301
—
TX
01
—
429526302
CSHCN MEDICAID TPI
TX
01
—
8QD350
BCBS
TX
Enumeration date
06/03/2021
Last updated
12/14/2021
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