Tai, Shawn
Tai, Shawn is an individual health care provider with primary practice located at 115 Medical Cir Ste 106 , Athens TX 75751. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Tai, Shawn can be contacted via phone (903) 675-1322.Contact Information
Primary practice address
115 Medical Cir Ste 106
Athens TX 75751
Phone: (903) 675-1322
Fax: (903) 675-6743
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | R5044 | Texas |
Profile Details
| NPI number | 1306005798 |
|---|---|
| LBN Legal business name | Tai, Shawn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2008 |
| Last updated | Jul 18th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306005798 | NPPES |
| Alabama | Other | 511-38669 | BCBS OF AL |
| Alabama | Other | 511-37500 | BCBS OF AL |
| Alabama | MEDICAID | 150833 | BCBS OF AL |
| Alabama | MEDICAID | 151223 | BCBS OF AL |
| Alabama | Other | 102G70337 | BCBS OF AL |
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