Timothy Shane Shaw Md, PA

NPI #1477672624 in Livingston, Texas

Provider Information

NPI Number: 1477672624
Entity Type: Organization
Organization Name: Timothy Shane Shaw Md, PA
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Mar 28, 2007
Last Updated: Mar 30, 2010

Practice Location

Address: 210 WEST PARK DR.
Address 2: STE 100
City: Livingston
State: Texas
ZIP Code: 77351-9226
Phone: (936) 328-8080

Authorized Official

Name: DR. TIMOTHY SHANE SHAW, M.D.
Title: ORTHOPAEDIC SURGEON
Phone: (936) 328-8080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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