Individual
DAVID DONGRYUN SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6550 FANNIN ST STE 2407, HOUSTON, TX 77030-2748
(713) 790-0000
(713) 790-1212
Mailing address
6550 FANNIN ST, STE 2407, HOUSTON, TX 77030-2748
(713) 790-5227
(713) 790-5505
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
K6323
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102117202
—
TX
01
—
8199K1
BCBS
TX
Enumeration date
07/29/2005
Last updated
12/08/2020
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