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Kevin Jack Shih

Internal Medicine

Allopathic & Osteopathic Physicians

4682 Mcdermott Rd Ste 100, Plano, TX 75024-7772

PECOS Enrollment

This provider is enrolled in PECOS as KEVIN SHIH.

Based on the most recent information from CMS, provider Kevin Jack Shih is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1063806107
Provider Type
Individual
Full Name
Shih, Kevin Jack
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
3/26/2015
Last Updated
8/5/2022

Contact Information

Practice Location

4682 Mcdermott Rd Ste 100, Plano, TX 75024-7772

(972) 596-6400

(972) 867-4766

Mailing Location

4682 Mcdermott Rd Ste 100, Plano, TX 75024-7772

(972) 596-6400

(972) 867-4766

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License R4636 Texas

Kevin Jack Shih

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

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Description

License

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