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Individual

JACOB SCOTT SHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
23960 KATY FWY STE 150, KATY, TX 77494-0891
(281) 347-0080
Mailing address
4900 MUELLER BLVD STE 3S.066C, AUSTIN, TX 78723-3079

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
BP10063722
TX
208000000X
Pediatrics Physician
ME148254
FL
208000000X
Pediatrics Physician
Primary
T5666
TX

Other

Enumeration date
04/02/2018
Last updated
12/17/2022
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