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
Fax: (903) 675-6743
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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