| Dr J Elaine Shaw, MD | |
|
1505 State Highway 19 S, Athens, TX 75751-8950 | |
| (903) 675-1725 | |
| (903) 675-7668 |
| Full Name | Dr J Elaine Shaw |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1505 State Highway 19 S, Athens, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508831942 | NPI | - | NPPES |
| 121323301 | Medicaid | TX | |
| 121323304 | Other | TX | THSTEPS-MEDICAID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | G3781 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr J Elaine Shaw, MD Po Box 5500, Tyler, TX 75712-5500 Ph: (903) 324-6450 | Dr J Elaine Shaw, MD 1505 State Highway 19 S, Athens, TX 75751-8950 Ph: (903) 675-1725 |
Marel A Hanks, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1001 N Palestine St, Athens, TX 75751 Phone: 903-535-9041 | |
Vandana Char, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 824 Southpark Cir, Athens, TX 75752 Phone: 903-675-7376 Fax: 903-677-4234 |