Provider Demographics
NPI:1295748424
Name:JIN, BINGSHENG
Entity type:Individual
Prefix:MR
First Name:BINGSHENG
Middle Name:
Last Name:JIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:89 BRADFORD CIR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-2972
Mailing Address - Country:US
Mailing Address - Phone:713-817-2381
Mailing Address - Fax:
Practice Address - Street 1:6624 FANNIN ST STE 2220
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2334
Practice Address - Country:US
Practice Address - Phone:713-817-2381
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX293D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1295748424OtherBLUECROSS BLUESHIELD
0004632202OtherAETNA
TX1295748424OtherBLUECROSS BLUESHIELD