Individual
AMANDA NICOLE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 456-5959
(214) 456-5963
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 456-5959
(214) 456-5963
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
P2364
TX
Other
Enumeration date
09/15/2012
Last updated
11/08/2016
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