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Timothy Shane Shaw, MD,PA
Specialist in Livingston, Texas
NPI 1316930183

Timothy Shane Shaw is a Specialist based in Livingston, TX. Timothy Shane Shaw practices in Livingston, TX and has the professional credentials of MD,PA. The NPI Number for Timothy Shane Shaw is 1316930183 and holds a License No. M1343 (Texas).

The current practice location address for Timothy Shane Shaw is 601 Ogeltree Dr., Livingston, TX and can be reached out via phone at 936-328-8080 and via fax at 936-328-8505.

Location: 601 Ogeltree Dr., Livingston, TX, 77351-9226
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316930183
Provider Name
Timothy Shane Shaw
Credential
MD,PA
Provider Entity Type
Individual
Gender
Male
Address
601 Ogeltree Dr., Livingston, TX, 77351-9226
Phone Number
936-328-8080
Fax Number
936-328-8505
Provider Enumeration Date
08/26/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1788538 05 LA
P00256091 01 TX MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
601 Ogeltree Dr.
City
Livingston
State
Texas
Zip
77351
Phone Number
936-328-8080
Fax Number
936-328-8505
person
Provider Business Mailing Address Details
Address
601 Ogeltree Dr.
City
Livingston
State
Texas
Zip
77351
Phone Number
936-328-8080
Fax Number
936-328-8505
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
M1343 (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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