MEDICARE: DR. LUKE YU-PING SHEN M.D.

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
1	204F00000X	Transplant Surgery Physician	N4090	TX
2	208600000X	Surgery Physician	N4090	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8CD428	OTHER	TX	BCBS
2	207073202	OTHER	TX	CSN
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134266810
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LUKE YU-PING SHEN M.D.

Provider Business Mailing Address
First Line	:	8109 FREDERICKSBURG RD
Second Line	:	PHYSICIAN PRACTICE SERVICES
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3311
Country	:	US
Telephone Number	:	210-575-4837
Fax Number	:	210-575-8647

Provider Business Practice Location Address
First Line	:	8201 EWING HALSELL DR
Second Line	:	2ND FLOOR
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3707
Country	:	US
Telephone Number	:	210-575-4837
Fax Number	:	210-575-8647

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2007
Last Update Date	:	07/08/2014

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Directions to “ DR. LUKE YU-PING SHEN M.D.” Practice Location

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