Provider Demographics
NPI:1841229523
Name:SHU, TUNG (MD)
Entity Type:Individual
Prefix:
First Name:TUNG
Middle Name:
Last Name:SHU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6400 FANNIN ST STE 2300
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1527
Mailing Address - Country:US
Mailing Address - Phone:832-325-7280
Mailing Address - Fax:713-512-7104
Practice Address - Street 1:6400 FANNIN ST
Practice Address - Street 2:SUITE 2300
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-366-7866
Practice Address - Fax:713-512-7104
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL4122208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX157243002Medicaid
TX8G3642OtherBCBS
TX8B9922Medicare ID - Type Unspecified
TX157243002Medicaid