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Individual
DR. JEFFREY LU SHI
Active
Individual
DR. JEFFREY LU SHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
BP10080775
TX
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP10080775
PIT PERMIT
TX
Enumeration date
05/27/2022
Last updated
05/27/2022
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