| Hong-i Shen, M.d., P.a. | |
|
3100 N 4th St Longview TX 75605-5139 | |
| (903) 247-4404 | |
| (903) 247-4408 |
| Full Name | Hong-i Shen, M.d., P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 3100 N 4th St, Longview, Texas |
| Authorized Official Name and Position | Hong-i Shen (PRESIDENT) |
| Authorized Official Contact | 9032474404 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hong-i Shen, M.d., P.a. 3100 N 4th St Longview TX 75605-5139 Ph: (903) 247-4404 | Hong-i Shen, M.d., P.a. 3100 N 4th St Longview TX 75605-5139 Ph: (903) 247-4404 |
| NPI Number | 1841370756 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2163428863 |
|---|---|
| Medicare Enrollment ID | O20061019000236 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841370756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K7894 (Texas) | Primary |
| Provider Name | Hong-i Shen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700866969 PECOS PAC ID: 3870599574 Enrollment ID: I20100809001006 |
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