Individual
DR. JEROD K SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
511 US HIGHWAY 281, MARBLE FALLS, TX 78654-5708
(830) 992-2850
Mailing address
205 W WINDCREST ST, STE 130, FREDERICKSBURG, TX 78624-4422
(830) 990-6631
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
N6015
TX
208VP0000X
Pain Medicine Physician
Primary
N6015
TX
Other
Enumeration date
12/20/2007
Last updated
06/28/2017
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