Shaw, Grady C

Shaw, Grady C is an individual health care provider with primary practice located at 401 Hospital Dr Suite 140, Corsicana TX 75110-2415. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Shaw, Grady C can be contacted via phone (903) 872-3005.

Contact Information

Primary practice address
401 Hospital Dr Suite 140 Corsicana TX 75110-2415
Phone: (903) 872-3005
Fax: (903) 875-7229
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X F7158 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X F7158 Texas

Profile Details

NPI number 1598730939
LBN Legal business name Shaw, Grady C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Nov 10th, 2016 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1598730939 NPPES
Texas MEDICAID 125737006
Texas Other DG9311
Texas Other P00463100
Texas Other 00Y226

Popular Providers