Provider Demographics
NPI:1699965236
Name:HU, SHAIN JAN (CA,RN)
Entity type:Individual
Prefix:MS
First Name:SHAIN
Middle Name:JAN
Last Name:HU
Suffix:
Gender:F
Credentials:CA,RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:850 S GREENVILLE AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-5090
Mailing Address - Country:US
Mailing Address - Phone:972-669-1346
Mailing Address - Fax:972-669-1669
Practice Address - Street 1:850 S GREENVILLE AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-5090
Practice Address - Country:US
Practice Address - Phone:972-669-1346
Practice Address - Fax:972-669-1669
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC00003171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist