Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | R4636 | TX |
N | 111NI0900X | Internist | R4636 | TX |
Y | 207RG0300X | Geriatric Medicine | R4636 | TX |
NPI | 1063806107 |
---|---|
Provider Name | Kevin Shih |
First Address | Houston, TX 77030-1501 |
Second Address | Irving, TX 75062-5247 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2015 |
Last Update Date | 02/08/2021 |