Shaw, Stephanie

Shaw, Stephanie is an individual health care provider with primary practice located at 170 Deepwood Dr Suite 104, Round Rock TX 78681-4944. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Shaw, Stephanie can be contacted via phone (512) 458-8400.

Contact Information

Primary practice address
170 Deepwood Dr Suite 104 Round Rock TX 78681-4944
Phone: (512) 458-8400
Fax: (512) 458-8593
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X M6880 Texas

Profile Details

NPI number 1760687354
LBN Legal business name Shaw, Stephanie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2007
Last updated Oct 17th, 2008 - about 16 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 1760687354 NPPES
Texas Other 8W4671 BCBS OF TEXAS INDIVIDUAL #

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