Individual
ED JAE SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
267 CREEKSIDE WAY, NEW BRAUNFELS, TX 78130-6389
(830) 387-7511
Mailing address
3207 N CARRIAGEWAY DR, ARLINGTON HEIGHTS, IL 60004-1503
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10424T
TX
Other
Enumeration date
10/02/2021
Last updated
10/02/2021
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