Individual provider Active NPI

Yuenan Shen, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Garland, TX
National Provider Identifier
1649592064
Registry record updated Feb 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
L5132 Issued in TX
Practice address
1918 E Miller Rd, Suite 101
Garland, TX 75041
Phone
(972) 900-5988
NPI assigned
Feb 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X L5132 TX Primary

Addresses

Primary practice location

1918 E Miller Rd, Suite 101
Garland, TX 75041

Mailing address

1918 E Miller Rd Ste 101
Garland, TX 75041-2100
Phone (972) 900-5988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101111000256 TX Practitioner - Pathology 3971798372

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
R Irvin Morgan MD PA Pathology Associates Anatomic Pathology & Clinical Pathology Current Accepting new patients
Moushira a Ebrahim Past Accepting new patients

Locations

4818 Wellington St
Ste 4
Greenville, TX 75402
Phone (903) 455-4051

4215 Ramsey Blvd E
Greenville, TX 75401
Phone (903) 408-1470

115 Airport Rd
Sulphur Springs, TX 75482
Phone (903) 439-4052

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267142400000",
    "number": "1649592064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1918 E MILLER RD STE 101",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750412100",
            "telephone_number": "972-900-5988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 E MILLER RD, SUITE 101",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "75041",
            "telephone_number": "972-900-5988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEN",
        "first_name": "YUENAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-26",
        "last_updated": "2010-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "L5132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.