Provider Demographics
NPI:1144595349
Name:YI SHEN, PLLC
Entity Type:Organization
Organization Name:YI SHEN, PLLC
Other - Org Name:SHEN ACUPUNCTURE AND HERBAL MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHIA HUI
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:361-676-8072
Mailing Address - Street 1:310 FIELDSTONE
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-3816
Mailing Address - Country:US
Mailing Address - Phone:361-676-8072
Mailing Address - Fax:
Practice Address - Street 1:310 FIELDSTONE
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-3816
Practice Address - Country:US
Practice Address - Phone:361-676-8072
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-20
Last Update Date:2012-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC01213171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty