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Individual

DR. CLAYTON THOMAS SHAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3453 SAINT FRANCIS AVE, SUITE 125, DALLAS, TX 75228-7199
(972) 279-0559
Mailing address
1801 TOBIN TRL, GARLAND, TX 75043-2534
(972) 240-4319
(972) 240-4364

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G8757
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
098656401
TX
Enumeration date
04/17/2006
Last updated
12/10/2008
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