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NPI Code Detail

MEDICARE: JOHN SHAY

MEDICARE:   JOHN  SHAY
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
1171100000XAcupuncturistAC01022TX

General Provider Information

NPI Number : 1205017332
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN SHAY
Provider Business Mailing Address
First Line : 103 PHANTURN LN
Second Line :
City : BELLAIRE
State : TX
Zip : 77401-2607
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3730 KIRBY DR STE 1200
Second Line :
City : HOUSTON
State : TX
Zip : 77098-3985
Country : US
Telephone Number : 713-253-3040
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2007
Last Update Date : 11/16/2007

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Directions to “ JOHN SHAY ” Practice Location

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