Organization
SHAW PAIN CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROD K SHAW MD (OWNER)
(512) 588-9230
Entity
Organization
Contact information
Practice address
503 FM 1431 EAST, SUITE 201, MARBLE FALLS, TX 78654-5252
(830) 220-5007
(830) 220-5009
Mailing address
503 FM 1431 EAST, SUITE 201, MARBLE FALLS, TX 78654-5252
(830) 220-5007
(830) 220-5009
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
07/18/2019
Last updated
02/27/2020
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