Individual
ERWIN TERRANCE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3851 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234
(210) 916-4141
Mailing address
3851 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4501
(817) 437-9425
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
982
NE
208D00000X
General Practice Physician
982
NE
Other
Enumeration date
04/01/2009
Last updated
08/10/2023
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