Shaw, Albert Lovell
Shaw, Albert Lovell is an individual health care provider with primary practice located at 729 West Bedfordeuless Road Suite 111, Hurst TX 76053. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Shaw, Albert Lovell can be contacted via phone (817) 868-1109.Contact Information
Primary practice address
729 West Bedfordeuless Road Suite 111
Hurst TX 76053
Phone: (817) 868-1109
Fax: (817) 545-8266
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | D8080 | Texas |
Profile Details
| NPI number | 1073518833 |
|---|---|
| LBN Legal business name | Shaw, Albert Lovell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2005 |
| Last updated | Jul 8th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073518833 | NPPES |
| Texas | MEDICAID | 0474496-01 |
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