Holloway, Shane E.

Holloway, Shane E. is an individual health care provider with primary practice located at 6 Medical Dr , Amarillo TX 79106-4136. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Oncology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgical Oncology is his primary health care specialty. Holloway, Shane E. can be contacted via phone (806) 212-6604.

Contact Information

Primary practice address
6 Medical Dr Amarillo TX 79106-4136
Phone: (806) 212-6604
Fax: (806) 212-0355
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X L5771 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X L5771 Texas

Profile Details

NPI number 1043319940
LBN Legal business name Holloway, Shane E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Sep 13th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043319940 NPPES
Texas MEDICAID 195821702

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