1427157486 NPI number — DR. HORNG YUAN SHAO D.C., DIPL AC

Table of content: DR. HORNG YUAN SHAO D.C., DIPL AC (NPI 1427157486)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427157486 NPI number — DR. HORNG YUAN SHAO D.C., DIPL AC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SHAO
Provider First Name:
HORNG YUAN
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.C., DIPL AC
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427157486
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/11/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3950 S RIDGE RD
Provider Second Line Business Mailing Address:
SUITE 200
Provider Business Mailing Address City Name:
MCKINNEY
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75070-9600
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
214-856-3194
Provider Business Mailing Address Fax Number:
214-856-3914

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3950 S RIDGE RD
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
MCKINNEY
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75070-9600
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-856-3194
Provider Business Practice Location Address Fax Number:
214-856-3914
Provider Enumeration Date:
09/22/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  08001807A , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 111N00000X , with the licence number: 7960 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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