MEDICARE: DR. HORNG YUAN SHAO D.C., DIPL AC

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	111N00000X	Chiropractor	08001807A	IN
2	111N00000X	Chiropractor	7960	TX

General Provider Information

NPI Number	:	1427157486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HORNG YUAN SHAO D.C., DIPL AC

Provider Business Mailing Address
First Line	:	3950 S RIDGE RD
Second Line	:	SUITE 200
City	:	MCKINNEY
State	:	TX
Zip	:	75070-9600
Country	:	US
Telephone Number	:	214-856-3194
Fax Number	:	214-856-3914

Provider Business Practice Location Address
First Line	:	3950 S RIDGE RD
Second Line	:	SUITE 200
City	:	MCKINNEY
State	:	TX
Zip	:	75070-9600
Country	:	US
Telephone Number	:	214-856-3194
Fax Number	:	214-856-3914

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

Provider Enumeration Date	:	09/22/2006
Last Update Date	:	04/11/2020

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