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Individual

DR. DAVID JON SHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12554 RIATA VISTA CIR, AUSTIN, TX 78727-6431
(512) 795-5100
(512) 795-5122
Mailing address
12554 RIATA VISTA CIR, AUSTIN, TX 78727-6431
(512) 795-5100
(512) 795-5122

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
L9478
TX
2085R0202X
Diagnostic Radiology Physician
MD61493684
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
167954002
TX
Enumeration date
06/10/2005
Last updated
12/04/2025
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