Individual ProviderMichael Shang ChaoPharmacistPharmacy Service ProvidersPractice Address7268 Dubose Crk, Tyler, TX 75703-6047(903) 504-2300PECOS EnrollmentBased on the most recent information from CMS, provider Michael Shang Chao does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1376112722Provider TypeIndividualFull NameChao, Michael ShangTitleDr.CredentialPHARMDGenderMaleSole ProprietorNoEnumeration Date6/21/2021Last Updated6/21/2021Contact InformationPractice LocationPractice Address7268 Dubose Crk, Tyler, TX 75703-6047Phone(903) 504-2300FaxUnlisted FaxMailing LocationMailing Address7268 Dubose Crk, Tyler, TX 75703-6047Phone(903) 504-2300FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense63862Texas