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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TIMOTHY SHANE SHAW, M.D., P.A.

Active

TIMOTHY SHANE SHAW, M.D., P.A. is a Specialist healthcare provider located in LIVINGSTON, Texas. NPI 1316930183 is currently active in the NPPES registry. Verify at CMS.

Specialist · LIVINGSTON, TX

Registration Details

NPI Number
1316930183
Provider Type
Individual
Gender
Male
NPI Issued
Aug 26, 2005 (20.964232302772 yrs)
Last Updated
Oct 12, 2007
License
M1343 (TX)

Practice Information

Address
601 OGELTREE DR.
SUITE D
LIVINGSTON, TX, 77351
Browse TX providers · Browse ZIP 77351
Phone
9363288080
Fax
9363288505
Primary Specialty
Specialist
174400000X

Other Specialist Providers in LIVINGSTON, TX

Name Credential NPI
LINDA K ROSEMAN 1760664148
TIFFANI VALDEREZ 1508260464
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.