Matthew Shaw

NPI 1932916608 · on the registry since 2024

Practice

Address: 13201 Ranch Road 620 N
Austin, TX 78717
Phone: (512) 257-7678
Fax: (512) 257-7690
Organisation at this address: Wal-Mart Stores Texas, Lp
Wal-Mart Stores Texas Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 156FX1800X
156FX1800X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-12-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas