MEDICARE: DR. HENRY SHIH 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
1	207P00000X	Emergency Medicine Physician	0025757	AL
2	207P00000X	Emergency Medicine Physician	N1449	TX

General Provider Information

NPI Number	:	1265413371
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HENRY SHIH MD

Provider Business Mailing Address
First Line	:	6300 LA CALMA DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78752-3843
Country	:	US
Telephone Number	:	512-452-8533
Fax Number	:

Provider Business Practice Location Address
First Line	:	6300 LA CALMA DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78752-3843
Country	:	US
Telephone Number	:	512-452-8533
Fax Number	:

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

Provider Enumeration Date	:	11/07/2005
Last Update Date	:	07/15/2010

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