Individual
SHAW M TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
802 S JACKSON AVE STE 310, TULSA, OK 74127-9057
(918) 631-8130
(918) 631-8134
Mailing address
802 S JACKSON AVE STE 310, TULSA, OK 74127-9057
(918) 631-8130
(918) 631-8134
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
6508
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200785150A
—
OK
01
—
691847
MEDICARE
OK
Enumeration date
04/03/2007
Last updated
02/12/2019
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