Provider Demographics
NPI:1831283696
Name:SHI, BING (MD)
Entity Type:Individual
Prefix:
First Name:BING
Middle Name:
Last Name:SHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5865
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79408-5865
Mailing Address - Country:US
Mailing Address - Phone:806-743-2898
Mailing Address - Fax:806-743-2787
Practice Address - Street 1:3601 4TH ST
Practice Address - Street 2:SUITE 1C282
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79430-8182
Practice Address - Country:US
Practice Address - Phone:806-743-2981
Practice Address - Fax:806-743-2984
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS20008207L00000X
TXL8192207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX101170100Medicaid
TX101170100OtherFIRSTCARE COMMERCIAL
TX159048102Medicaid
NM202006951Medicaid
TX87355ZOtherHMO BLUE
NM202006951OtherPRESBYTERIAN COMMERCIAL
NM55487866Medicaid
NMA567OtherTRIWEST
TX159048101Medicaid
OK200011200AMedicaid
TX8F0119OtherBC/BS
MSP00622804OtherRAILROAD MEDICARE
OK200011200AMedicaid
NM202006951Medicaid
NMA567OtherTRIWEST
MSP00622804OtherRAILROAD MEDICARE
TX87355ZOtherHMO BLUE