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NPI Code Detail

MEDICARE: SHAN RENEE LUONG M.D.

MEDICARE: SHAN RENEE LUONG 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
1207RS0012XSleep Medicine (Internal Medicine) PhysicianP5839TX
2208M00000XHospitalist PhysicianP5839TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1319063YK6JOTHERTXMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780908442
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAN RENEE LUONG M.D.
Provider Business Mailing Address
First Line : PO BOX 845347
Second Line :
City : DALLAS
State : TX
Zip : 75284-5347
Country : US
Telephone Number : 214-645-8800
Fax Number : 214-645-8801
Provider Business Practice Location Address
First Line : 5939 HARRY HINES BLVD 2ND FL STE 110
Second Line :
City : DALLAS
State : TX
Zip : 75390-7208
Country : US
Telephone Number : 214-645-5337
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2010
Last Update Date : 02/26/2026

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Directions to “ SHAN RENEE LUONG M.D.” Practice Location

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