Individual
JILL RODRIGUEZ SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
221 W COLORADO BLVD STE 525, DALLAS, TX 75208-2312
(214) 960-5681
(214) 960-5681
Mailing address
221 W COLORADO BLVD STE 525, DALLAS, TX 75208-2312
(214) 960-5681
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1012936
TX
Other
Enumeration date
06/28/2021
Last updated
03/27/2024
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