Theresa Dee Shaw

NPI #1124637434 in Killeen, Texas

Provider Information

NPI Number: 1124637434
Entity Type: Individual
Name: Theresa Dee Shaw
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Enumeration Date: Jul 23, 2020
Last Updated: Jul 23, 2020

Practice Location

Address: 1704 MLK JR BLVD LOT 80
City: Killeen
State: Texas
ZIP Code: 76543-5409
Phone: (254) 535-2026

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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