Provider Demographics
NPI:1427157486
Name:SHAO, HORNG YUAN (DC, DIPL AC)
Entity type:Individual
Prefix:DR
First Name:HORNG YUAN
Middle Name:
Last Name:SHAO
Suffix:
Gender:M
Credentials:DC, DIPL AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3950 S RIDGE RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-9600
Mailing Address - Country:US
Mailing Address - Phone:214-856-3194
Mailing Address - Fax:214-856-3914
Practice Address - Street 1:3950 S RIDGE RD
Practice Address - Street 2:SUITE 200
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-9600
Practice Address - Country:US
Practice Address - Phone:214-856-3194
Practice Address - Fax:214-856-3914
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2020-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001807A111N00000X
TX7960111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200231050AMedicaid
INU76089Medicare UPIN