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Individual
PAUL LUTHER SHAY
Active
Individual
PAUL LUTHER SHAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
T1553
TX
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
T1553
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
426202401
—
TX
01
—
426202402
MEDICAID- CSHCN
TX
01
—
8PZ493
BCBS
TX
01
—
Q00127415
RAILROAD MEDICARE
TX
Enumeration date
04/02/2015
Last updated
11/11/2021
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