Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | N4090 | TX |
N | 208200000X | Surgeon | N4090 | TX |
N | 208600000X | Surgeon | N4090 | TX |
NPI | 1134266810 |
---|---|
Provider Name | Dr. Luke Yu-Ping Shen |
First Address | San Antonio, TX 78229-3311 |
Second Address | San Antonio, TX 78229-3707 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2007 |
Last Update Date | 08/07/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
207073201 | (05) | TX |
207073202 | CSN (01) | TX |
8CD428 | BCBS (01) | TX |