Provider Demographics
NPI:1386721421
Name:TU, SHI-MING (MD)
Entity type:Individual
Prefix:
First Name:SHI-MING
Middle Name:
Last Name:TU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4439
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77210-4439
Mailing Address - Country:US
Mailing Address - Phone:713-792-2830
Mailing Address - Fax:
Practice Address - Street 1:1155 PRESSLER ST
Practice Address - Street 2:UNIT 1374
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-3721
Practice Address - Country:US
Practice Address - Phone:713-792-2830
Practice Address - Fax:713-745-1625
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-14981207RX0202X
TXJ3922207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX41311401Medicaid
F58497Medicare UPIN
82M250Medicare ID - Type Unspecified