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Individual
MICHAEL SHAWN NYE
Active
Individual
MICHAEL SHAWN NYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA05304
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417372624
GROUP NPI
TX
05
—
206513802
—
TX
01
—
354618ZG9W
PTAN
TX
01
—
880N98
BCBS
TX
Enumeration date
06/13/2007
Last updated
07/16/2025
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