JAE WOO SHIN NPI 1669059838

NPI Information

NPI: 1669059838
Provider Name: JAE WOO SHIN
Classification: Urology - 208800000X
Entity Type: Individual
Address:
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX
ZIP 78234
Phone: (210) 916-6604
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Jae Woo Shin is an urology in Jbsa Ft Sam Houston, TX. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. Jae Woo Shin NPI is 1669059838. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX
ZIP 78234-504
Phone: (210) 916-6604

The enumeration date for this NPI number is 3/25/2021 and was last updated on 2/5/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208800000X	Urology		35069	NEBRASKA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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