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Individual

RACHEL LAVON SHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12830 HILLCREST RD STE 111, DALLAS, TX 75230-1547
(443) 383-9300
Mailing address
909 RIDGEBROOK RD STE 300, SPARKS, MD 21152-9477
(443) 383-9300

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1213153
TX

Other

Enumeration date
09/26/2025
Last updated
10/08/2025
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