Healthcare Provider Details
I. General information
NPI: 1235863226
Provider Name (Legal Business Name): SHAWN CHOU DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/14/2022
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2311 MUSTANG DR STE 100
GRAPEVINE TX
76051-1010
US
IV. Provider business mailing address
4913 LONGWOOD CT APT 1625
IRVING TX
75038-3413
US
V. Phone/Fax
- Phone: 214-337-7705
- Fax:
- Phone: 321-301-5916
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | CH14087 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 16946 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: