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1740360189
CARL R SHAW
FORT WORTH, TX
NPI
1740360189
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080P0204X Pediatrics, Pediatric Emergency Medicine
(Licence: TX L9477)
Enumeration Date
2006-10-17
Last Update Date
2021-05-10
Business Address
CARL R SHAW MD
801 7TH AVE
FORT WORTH, TX 76104-2733
Phone number: 682-885-3199
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Mailing Address
CARL R SHAW MD
PO BOX 733784
DALLAS, TX 75373-3784
Phone number: 682-885-1860
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