Provider Demographics
NPI:1245478882
Name:HE, MING SHUO (MD)
Entity type:Individual
Prefix:DR
First Name:MING
Middle Name:SHUO
Last Name:HE
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 1:7415 LAS COLINAS BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-7568
Mailing Address - Country:US
Mailing Address - Phone:214-379-2700
Mailing Address - Fax:
Practice Address - Street 1:2021 N MACARTHUR BLVD
Practice Address - Street 2:SUITE 210
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75061-2219
Practice Address - Country:US
Practice Address - Phone:214-379-2786
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-03
Last Update Date:2016-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP20029256207RH0003X
HIMD-16244207RH0003X
TXN5720207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX438123YS68OtherMEDICARE PTAN
TX438123ZH18OtherMEDICARE PTAN