| Shen Medical Associates | |
|
3100 N 4th St Longview TX 75605-5139 | |
| (903) 247-4404 | |
| (903) 247-4408 |
| Full Name | Shen Medical Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 3100 N 4th St, Longview, Texas |
| Authorized Official Name and Position | Hong-i Shen (PHYSICIAN/PRESIDENT) |
| Authorized Official Contact | 9032474404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shen Medical Associates 3100 N 4th St Longview TX 75605-5139 Ph: (903) 247-4404 | Shen Medical Associates 3100 N 4th St Longview TX 75605-5139 Ph: (903) 247-4404 |
| NPI Number | 1922055425 |
|---|---|
| Provider Enumeration Date | 05/28/2006 |
| Last Update Date | 01/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922055425 | NPI | - | NPPES |
| 172138301 | Medicaid | TX | |
| 00697V | Other | TX | GROUP NUMBER |
| 00697V | Other | TX | BCBS GROUP NUMBER |
| 172138302 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K7894 (Texas) | Primary |
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