Shin, David Dongryun

Shin, David Dongryun is an individual health care provider with primary practice located at 6550 Fannin St Ste 2407 , Houston TX 77030-2748. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Shin, David Dongryun can be contacted via phone (713) 790-0000.

Contact Information

Primary practice address
6550 Fannin St Ste 2407 Houston TX 77030-2748
Phone: (713) 790-0000
Fax: (713) 790-1212
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X K6323 Texas

Profile Details

NPI number 1083614135
LBN Legal business name Shin, David Dongryun
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Dec 8th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083614135 NPPES
Texas Other 8199K1 BCBS
Texas MEDICAID 102117202 BCBS

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