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Contact Information

SHAWN TAI, MD
115 MEDICAL CIR STE 106
ATHENS, TX75751
 Phone: 903-675-1322
 Fax: 903-675-6743
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SHAWN TAI · (Male)

NPI Number 1306005798
Status Active
Credentials MD
Entity Individual
Enumeration date 06/02/2008
Last updated 07/18/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • TX License # R5044
  • AL Medicaid 150833
  • AL Medicaid 151223
  • AL Other 511-37500 BCBS OF AL
  • AL Other 511-38669 BCBS OF AL
  • AL Other 102G70337 MEDICARE GROUP PTAN
Hospital affiliation(s)
  • EAST TEXAS MEDICAL CENTER - (Acute Care)
    1000 SOUTH BECKHAM STREET
    TYLER, TX 75701
  • EAST TEXAS MEDICAL CENTER ATHENS - (Acute Care)
    2000 SOUTH PALESTINE
    ATHENS, TX 75751
  • UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER - (Acute Care)
    11937 US HIGHWAY 271
    TYLER, TX 75708
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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