Timothy Shane Shaw in Livingston - Specialist
Timothy Shane Shaw - NPI 1316930183
Timothy Shane Shaw is a Specialist in Livingston, Texas. Timothy Shane Shaw practices all healthcare services and medical treatments related to Specialist. The NPI Number for Timothy Shane Shaw is 1316930183. The last update date is 2007-10-12.
Timothy Shane Shaw's current location address is 601 Ogletree Dr, Livingston, Texas. You can contact this provider via phone number 9363288080 and fax number 9363288505. The mailing address for Timothy Shane Shaw is 601 Ogletree Dr, Livingston, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Shane Shaw |
|---|---|
| Address | 601 Ogletree Dr, Livingston, Texas |
| Phone Number | 9363288080 |
| Fax Number | 9363288505 |
| Sole Proprietor | N |
| Credentials | M.D., P.A. |
NPI Number Detail
| NPI Number | 1316930183 |
|---|---|
| Provider Enumeration Date | 2005-08-26 |
| Last Updated Date | 2007-10-12 |
Provider Mailing Address Detail
| Address | 601 Ogletree Dr |
|---|---|
| City | Livingston |
| State | Texas (TX) |
| Post Code | 773519226 |
| Phone Number | 9363288080 |
| Fax Number | 9363288505 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | M1343 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1788538 | LA | -- | |
| P00256091 | TX | MEDICARE RAILROAD |
Post Comment/ Review Below
What is the unique identifier code issued to Timothy Shane Shaw by the Centers for Medicare & Medicaid Services (CMS)?
The Timothy Shane Shaw has been assigned the NPI (National Provider Identifier) 1316930183. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Timothy Shane Shaw is physically located?
The Timothy Shane Shaw is situated at the following address: 601 Ogletree Dr, Livingston, TX 773519226.
What is Timothy Shane Shaw's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Timothy Shane Shaw is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
When was the Timothy Shane Shaw's 1316930183 issued?
The Timothy Shane Shaw's 1316930183 was issued on 2005-08-26.
When was the information regarding Timothy Shane Shaw most recently updated?
The details pertaining to the Timothy Shane Shaw, including its address, specialty, and other relevant information, were last refreshed on 2007-10-12.