Timothy Shane Shaw, M.D., P.A.

NPI #1316930183 in Livingston, Texas

Provider Information

NPI Number
1316930183
Entity Type
Individual
Name
Timothy Shane Shaw, M.D., P.A.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist
Credential
M.D., P.A.
Enumeration Date
Aug 26, 2005
Last Updated
Oct 12, 2007

Practice Location

Address
601 OGELTREE DR.
Address 2
SUITE D
State
Texas
ZIP Code
77351
Phone
(936) 328-8080

Specialties & Taxonomy Codes

Specialty
Specialist

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