Organization
FREDRICK SHAW DDS, PC
Active
Other names
Shoal Creek Prosthodontic Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADRIAN F RAMOS (INSURANCE COORDINATOR)
(512) 451-7491
Entity
Organization
Contact information
Practice address
1500 W 38TH ST, STE. 34, AUSTIN, TX 78731-6321
(512) 451-7491
(512) 451-5388
Mailing address
1500 W 38TH ST, STE. 34, AUSTIN, TX 78731-6321
(512) 451-7491
(512) 451-5388
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
17867
TX
Other
Enumeration date
06/06/2007
Last updated
06/18/2008
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