Individual
DR. JONATHAN W SHUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, DDS
Contact information
Practice address
6560 FANNIN ST STE 1900, HOUSTON, TX 77030-2785
(713) 790-4600
(713) 729-1229
Mailing address
6560 FANNIN ST STE 1900, HOUSTON, TX 77030-2785
(713) 790-4600
(713) 729-1229
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
D73838
MD
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
FE156073
OR
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
P7351
TX
Other
Enumeration date
10/24/2008
Last updated
03/17/2018
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