Individual
DR. MICHAEL ALLEN SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 E 6TH ST, TEXARKANA, AR 71854-5207
(870) 779-6064
Mailing address
300 E 6TH ST, TEXARKANA, AR 71854-5207
(870) 779-6064
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
E-4405
AR
207Q00000X
Family Medicine Physician
Primary
E-4405
AR
Other
Enumeration date
05/19/2006
Last updated
09/11/2025
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