Individual
DR. ZHENG SHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
602 INDIANA AVE, LUBBOCK, TX 79415-3364
(806) 775-8600
(806) 775-8588
Mailing address
5219 CITY BANK PKWY STE 35, LUBBOCK, TX 79407-3545
(806) 761-0333
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
003223
GA
2085R0001X
Radiation Oncology Physician
Primary
P7208
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
325362701
—
TX
01
—
325362702
CSHCN MEDICAID
TX
Enumeration date
06/01/2008
Last updated
05/25/2021
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