Healthcare Provider Details

I. General information

NPI: 1306951900
Provider Name (Legal Business Name): HUE-TEH SHIH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 11/10/2023
Certification Date: 11/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7707 FANNIN ST SUITE 255A
HOUSTON TX
77054
US

IV. Provider business mailing address

12335 KINGSRIDE LN #103
HOUSTON TX
77024
US

V. Phone/Fax

Practice location:
  • Phone: 713-383-8800
  • Fax: 713-383-0645
Mailing address:
  • Phone: 832-428-5495
  • Fax: 281-749-8124

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberH3524
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberH3524
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberH3524
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberH3524
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: