MEDICARE: MR. BINGSHENG JIN

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	293D00000X	Physiological Laboratory		TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1295748424	OTHER	TX	BLUECROSS BLUESHIELD
2	0004632202	OTHER		AETNA

General Provider Information

NPI Number	:	1295748424
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. BINGSHENG JIN

Provider Business Mailing Address
First Line	:	89 BRADFORD CIR
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-2972
Country	:	US
Telephone Number	:	713-817-2381
Fax Number	:

Provider Business Practice Location Address
First Line	:	6624 FANNIN ST STE 2220
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2334
Country	:	US
Telephone Number	:	713-817-2381
Fax Number	:

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

Provider Enumeration Date	:	08/15/2006
Last Update Date	:	03/06/2008

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Directions to “ MR. BINGSHENG JIN ” Practice Location

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