Aaron Ivy Shaw DO

NPI 1104031814 - Hospitalist - 208M00000X

NPI Details
NPI 1104031814
Gender Male
Enumeration Date 05/14/2007
Last Updated 01/17/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
855 MONTGOMERY
FORT WORTH TX, 76107-2553, US
Phone (817) 884-3023
Fax
Business Location
PO BOX 99335
FORT WORTH TX, 76199-0335, US
Phone
Fax
Toxanomy
Taxonomy Code 208M00000X
License State Texas
License Number M5923
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According to our database, Aaron Ivy Shaw DO NPI is 1104031814, taxonomy code is 208M00000X and license number is M5923, license state is located at Texas. Aaron Ivy Shaw DO physically located at 855 Montgomery, Fort Worth TX, 76107-2553. NPI Number Aaron Ivy Shaw DO has the Individual type.

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1104031814 NPI number is provided on an as is basis without warranty of any kind. 1104031814 is maintained by the National Plan & Provider Enumeration System. The contents of Aaron Ivy Shaw DO are for informational purposes only.