MEDICARE: SHI-MING TU 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	207RX0202X	Medical Oncology Physician	E-14981	AR
2	207RX0202X	Medical Oncology Physician	J3922	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386721421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHI-MING TU M.D.

Provider Business Mailing Address
First Line	:	PO BOX 4439
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77210-4439
Country	:	US
Telephone Number	:	713-792-2830
Fax Number	:

Provider Business Practice Location Address
First Line	:	1155 PRESSLER ST
Second Line	:	UNIT 1374
City	:	HOUSTON
State	:	TX
Zip	:	77030-3721
Country	:	US
Telephone Number	:	713-792-2830
Fax Number	:	713-745-1625

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

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	02/17/2022

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