Individual
TIMOTHY J SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1305 WONDER WORLD DR, STE 300, SAN MARCOS, TX 78666-7546
(512) 353-6422
(512) 353-6424
Mailing address
1305 WONDER WORLD DR, STE 300, SAN MARCOS, TX 78666-7546
(512) 353-6422
(512) 353-6424
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M3088
TX
Other
Enumeration date
06/21/2006
Last updated
05/27/2009
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