Bryan Scott Shaver, PA

NPI #1659826626 in Crockett, Texas

Provider Information

NPI Number: 1659826626
Entity Type: Individual
Name: Bryan Scott Shaver, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Aug 19, 2016
Last Updated: Aug 19, 2016

Practice Location

Address: 1050 E LOOP 304
Address 2: SUITE 200
City: Crockett
State: Texas
ZIP Code: 75835-1814
Phone: (936) 544-5132

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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