Individual
ELIJAH CLIFTON SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1207 S BAILEY ST, ELECTRA, TX 76360-3221
(940) 495-3981
Mailing address
310 W WHARTON AVE, ELECTRA, TX 76360-2320
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
962505
TX
363LF0000X
Family Nurse Practitioner
1230691
TX
Other
Enumeration date
01/27/2026
Last updated
03/31/2026
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