Individual
DR. FREDRICK ALEXANDER SHAW III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1500 W 38TH ST, STE #34, AUSTIN, TX 78731-6321
(512) 451-7491
(512) 451-5388
Mailing address
1500 W 38TH ST, STE #34, AUSTIN, TX 78731-6321
(512) 451-7491
(512) 451-5388
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
17867
TX
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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