| Ho Chan Shin, DC | |
|
7130 Preston Rd Ste 300, Plano, TX 75024-3267 | |
| (972) 208-8877 | |
| (972) 208-8866 |
| Full Name | Ho Chan Shin |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 7130 Preston Rd Ste 300, Plano, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922203710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 11160 (Texas) | Primary |
| Provider Name | Texas Gonstead Chiropractic Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1700289832 PECOS PAC ID: 6103137930 Enrollment ID: O20150622000715 |
| Mailing Address | Practice Location Address |
|---|---|
| Ho Chan Shin, DC 7130 Preston Rd Ste 300, Plano, TX 75024-3267 Ph: (972) 208-8877 | Ho Chan Shin, DC 7130 Preston Rd Ste 300, Plano, TX 75024-3267 Ph: (972) 208-8877 |
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