Provider Demographics
NPI:1952311326
Name:TSENG, STEPHEN SHIPIN (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:SHIPIN
Last Name:TSENG
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 1:3201 UNIVERSITY DR E STE 345
Mailing Address - Street 2:
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77802-3484
Mailing Address - Country:US
Mailing Address - Phone:979-776-0088
Mailing Address - Fax:979-776-9502
Practice Address - Street 1:3201 UNIVERSITY DR E STE 345
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77802-3484
Practice Address - Country:US
Practice Address - Phone:979-776-0088
Practice Address - Fax:979-776-9502
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2014-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG3866207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB27111Medicare PIN