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Individual

JOHN SHUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
802 MEDICAL CIR STE 101, LONGVIEW, TX 75605-5169
(903) 758-2610
(903) 758-7081
Mailing address
1107 E MARSHALL AVE, LONGVIEW, TX 75601-5602
(903) 758-2610
(903) 758-7081

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
L4123
TX
207V00000X
Obstetrics & Gynecology Physician
Primary
L4123
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
153825806
TX
05
153825807
TX
01
8M8693
BCBS
TX
Enumeration date
04/12/2007
Last updated
10/05/2025
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