Individual
BOTAO SHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6550 FANNIN ST, HOUSTON, TX 77030-2717
(713) 363-9604
(713) 791-5126
Mailing address
6550 FANNIN ST, HOUSTON, TX 77030-2717
(713) 363-9604
(713) 791-5126
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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