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Contact Information

CHARLES SHAW
4118 BLOSSOM ST
HOUSTON, TX77007-5711
 Phone: 713-863-8511
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prescribing (Medical)

103TP0016X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CHARLES SHAW · (Male)

NPI # 1851633044
Status Active
Credentials
Entity Individual
Enumeration date 03/26/2013
Last updated 03/26/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # D8430
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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