Organization
EDWARD T SHIN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD T SHIN MD (PRESIDENT)
(972) 781-0300
Entity
Organization
Contact information
Practice address
5804 COMMUNICATIONS PKWY, STE#100, PLANO, TX 75093-7809
(972) 772-4539
(972) 772-8099
Mailing address
PO BOX 262349, PLANO, TX 75026-2349
(972) 772-4539
(972) 772-8099
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
L7179
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6534910001
NSC FOR MEDICARE DME
TX
Enumeration date
01/25/2007
Last updated
02/03/2014
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