Organization
EDWARD SHIN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD SHIN MD (PRESIDENT)
(972) 772-4539
Entity
Organization
Contact information
Practice address
4100 W 15TH ST STE 200, PLANO, TX 75093-5856
(972) 596-6700
(972) 596-2818
Mailing address
PO BOX 262349, PLANO, TX 75026-2349
(972) 772-4539
(972) 772-8099
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
L7179
TX
Other
Enumeration date
06/25/2008
Last updated
06/25/2008
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