Individual
DR. ASHLEY GAVIN SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3851 ROGER BROOKE DR, MCHE-QD (CREDS), FORT SAM HOUSTON, TX 78234-4501
(210) 916-2460
Mailing address
3851 ROGER BROOKE DRIVE, MCHE-QD (CREDS), FORT SAM HOUSTON, TX 78234-6200
(210) 916-2460
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
005877
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/02/2010
Last updated
05/15/2013
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