Organization
SHAW PEDIATRICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLYDE EDWARD SHAW M.D. (PRESIDENT)
(903) 957-7429
Entity
Organization
Contact information
Practice address
240 E EVERGREEN ST, SHERMAN, TX 75090-5056
(903) 957-7429
(903) 957-7424
Mailing address
240 E EVERGREEN ST, SHERMAN, TX 75090-5056
(903) 957-7429
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
E2856
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100155410A
—
OK
05
—
129563606
—
TX
Enumeration date
11/05/2013
Last updated
11/05/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us