Provider Demographics
NPI:1710252820
Name:SHEN, CHIA HUI (LAC)
Entity Type:Individual
Prefix:
First Name:CHIA HUI
Middle Name:
Last Name:SHEN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:
Is Sole Proprietor?:No
Enumeration Date:2012-03-21
Last Update Date:2012-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC01213171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist