Individual
ALBERT LOVELL SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
729 WEST BEDFORDEULESS ROAD, SUITE 111, HURST, TX 76053
(817) 868-1109
(817) 545-8266
Mailing address
P.O. BOX 780, COLLEYVILLE, TX 76034
(817) 868-1109
(817) 545-8266
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
D8080
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0474496-01
—
TX
Enumeration date
06/17/2005
Last updated
07/08/2010
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