Individual
HYON C SHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9011 MOUNTAIN RIDGE DR STE 140, AUSTIN, TX 78759-7369
(512) 443-5954
(512) 326-3433
Mailing address
9011 MOUNTAIN RIDGE DR STE 140, AUSTIN, TX 78759-7369
(512) 443-5954
(512) 326-3433
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
J6724
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0068EY
BCBS
TX
05
—
031274602
—
TX
01
—
057687
FIRSTCARE PIN
TX
01
—
10012078
AMERIGROUP
TX
01
—
10619641
HEALTHSMART ID
—
01
—
123900100
FIRSTCARE ID
TX
01
—
5357727
AETNA
—
01
—
J6724
LICENSE
TX
Enumeration date
09/21/2006
Last updated
11/13/2020
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