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NPI Code Detail

MEDICARE: SHAINA GONG MD

MEDICARE: SHAINA GONG MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207YS0123XFacial Plastic Surgery PhysicianW5352TX

General Provider Information

NPI Number : 1053999102
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAINA GONG MD
Provider Business Mailing Address
First Line : 6400 FANNIN ST STE 2700
Second Line :
City : HOUSTON
State : TX
Zip : 77030-1539
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6400 FANNIN ST STE 2700
Second Line :
City : HOUSTON
State : TX
Zip : 77030-1539
Country : US
Telephone Number : 713-486-5000
Fax Number : 713-383-1410
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2021
Last Update Date : 04/18/2026

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Directions to “ SHAINA GONG MD” Practice Location

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