David Dongryun Shin
Vascular Surgeon
6550 Fannin St Ste 2407
Houston
, Texas 77030-2748
David Dongryun Shin
Vascular Surgeon
6550 Fannin St Ste 2407
Houston
, Texas 77030-2748
(713) 790-5505
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- David Dongryun Shin
- 6550 Fannin St Ste 2407
- Houston, TX
- Zip : 77030-2748
- Fax : (713) 790-5505
- Phone : (713) 790-5227
Second Address
- David Dongryun Shin
- 6550 Fannin St Ste 2407
- Houston, TX
- Zip : 77030-2748
- Fax : (713) 790-1212
- Phone : (713) 790-0000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | K6323 | TX |
National Provider Identifier
| NPI | 1083614135 |
|---|---|
| Provider Name | David Dongryun Shin |
| First Address | Houston, TX 77030-2748 |
| Second Address | Houston, TX 77030-2748 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/07/2005 |
| Last Update Date | 08/12/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 102117202 | (05) | TX |
| 8199K1 | BCBS (01) | TX |
| G76525 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.