Individual provider · Type 1 NPI
Timothy Shane Shaw, MD, P.A.
Specialist · Livingston, TX
NPI number
1316930183
Active
Practice location
601 Ogeltree Dr., Suite D
Livingston, TX 77351
Fax (936) 328-8505
Mailing address
601 Ogletree Dr, Suite D
Livingston, TX 77351-9226
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | M1343 (TX) |
Specialist: 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.
Other specialist providers in Livingston
About NPI 1316930183
Timothy Shane Shaw, MD, P.A.'s National Provider Identifier is 1316930183, issued on Aug 26, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Livingston, TX. The record was last updated on Oct 12, 2007.