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Shawn Tai, MD
Hematology & Oncology Physician in Athens, Texas
NPI 1306005798

Shawn Tai is a Hematology & Oncology Physician based in Dallas, TX and is specialized in Hematology & Oncology. Shawn Tai practices in Athens, TX and has the professional credentials of MD. The NPI Number for Shawn Tai is 1306005798 and holds a License No. R5044 (Texas).

The current practice location address for Shawn Tai is 115 Medical Cir Ste 106, Athens, TX and can be reached out via phone at 903-675-1322 and via fax at 903-675-6743.

Location: 115 Medical Cir Ste 106, Athens, TX, 75373-1912
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306005798
Provider Name
Shawn Tai
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
115 Medical Cir Ste 106, Athens, TX, 75373-1912
Phone Number
903-675-1322
Fax Number
903-675-6743
Provider Enumeration Date
06/02/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
511-38669 01 AL BCBS OF AL
511-37500 01 AL BCBS OF AL
150833 05 AL
151223 05 AL
102G70337 01 AL MEDICARE GROUP PTAN
institution
Provider Business Practice Location Address Details
Address
115 Medical Cir Ste 106
City
Athens
State
Texas
Zip
75751
Phone Number
903-675-1322
Fax Number
903-675-6743
person
Provider Business Mailing Address Details
Address
115 Medical Cir Ste 106
City
Athens
State
Texas
Zip
75751
Phone Number
903-675-1322
Fax Number
903-675-6743
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
R5044 (Texas)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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