Individual
TY TIESONG SHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 648-3111
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
P3982
TX
Other
Enumeration date
08/28/2008
Last updated
07/27/2012
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