Individual
MR. DAVID WAYNE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7509 MARSHA SHARP FWY, LUBBOCK, TX 79407-8202
(806) 744-7223
(806) 740-3325
Mailing address
4515 MARSHA SHARP FWY, GRACE CLINIC OF LUBBOCK, LUBBOCK, TX 79407
(806) 744-7223
(806) 740-3325
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
688169
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP119964
TX
Other
Enumeration date
01/11/2011
Last updated
09/08/2024
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