Look up the most recent NPI and PECOS records

Shan Guo

Internal Medicine

Allopathic & Osteopathic Physicians

6400 Fannin St, Suite 2900, Houston, TX 77030-1521

PECOS Enrollment

Based on the most recent information from CMS, provider Shan Guo 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
1144405945
Provider Type
Individual
Full Name
Guo, Shan
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
12/31/2007
Last Updated
6/11/2014

Contact Information

Practice Location

6400 Fannin St, Suite 2900, Houston, TX 77030-1521

(713) 704-3961

Unlisted Fax

Mailing Location

6400 Fannin St, Suite 2900, Houston, TX 77030-1521

(713) 704-3961

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207RH0003X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License N5090 Texas

Shan Guo

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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An, Amy