Individual
SHANE HOWATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1702 E DENMAN AVE, LUFKIN, TX 75901-6110
(936) 639-1224
(936) 637-7917
Mailing address
1702 E DENMAN AVE, LUFKIN, TX 75901-6110
(936) 639-1224
(936) 637-7917
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA02635
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080005401
—
TX
Enumeration date
08/05/2006
Last updated
01/20/2020
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