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William A Shaver, Md Pa
Specialist in Lubbock, Texas
NPI 1275714479

William A Shaver, Md Pa is a Specialist based in Lubbock, TX. William A Shaver, Md Pa practices in Lubbock, TX. The NPI Number for William A Shaver, Md Pa is 1275714479 and holds a License No. G0104 (Texas).

The current practice location address for William A Shaver, Md Pa is 2405 Broadway, Lubbock, TX and can be reached out via phone at 806-799-3644 and via fax at 806-791-3204.

Location: 2405 Broadway, Lubbock, TX, 79401-2918
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275714479
Provider Name
William A Shaver, Md Pa
Credential
Provider Entity Type
Organization
Address
2405 Broadway, Lubbock, TX, 79401-2918
Phone Number
806-799-3644
Fax Number
806-791-3204
Provider Enumeration Date
11/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00365N 01 TX MEDICARE GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
2405 Broadway
City
Lubbock
State
Texas
Zip
79401-2918
Phone Number
806-799-3644
Fax Number
806-791-3204
person
Provider Business Mailing Address Details
Address
2405 Broadway
City
Lubbock
State
Texas
Zip
79401-2918
Phone Number
806-799-3644
Fax Number
806-791-3204
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G0104 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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