Provider Demographics
NPI:1669118733
Name:SHIH, CHUN-HUAN
Entity type:Individual
Prefix:
First Name:CHUN-HUAN
Middle Name:
Last Name:SHIH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:MAX
Other - Middle Name:
Other - Last Name:SHIH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:9779 GAYLORD PKWY APT 201
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-8968
Mailing Address - Country:US
Mailing Address - Phone:626-265-6638
Mailing Address - Fax:
Practice Address - Street 1:9779 GAYLORD PKWY APT 201
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-8968
Practice Address - Country:US
Practice Address - Phone:626-265-6638
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-10
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1356237225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist