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Organization

MARY N SHAW MD PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JUSTIN JARRACH (MANAGER)
(504) 202-5200
Entity
Organization

Contact information

Practice address
1204 BARRISTER CIR, MURPHY, TX 75094-4106
(504) 202-5200
Mailing address
1204 BARRISTER CIR, MURPHY, TX 75094-4106

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
03/14/2018
Last updated
03/14/2018
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