| Provider / Organization | NPI | Date Certified |
|---|---|---|
| DAVID WAYNE SHAW | 1760787451 | 2024-09-08 |
David W Shaw [M] graduated in 2010 and primarily specializes in Certified Registered Nurse Anesthetist (crna).
David Wayne Shaw is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1760787451. Registration indicates David Wayne Shaw is a provider of services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Anesthetist, Certified Registered (Nurse Anesthetist, Certified Registered, ) (All Other Specialties & Provider Types, ) (Nurse Anesthetist, Certified Registered, Physician Assistants & Advanced Practice Nursing Providers) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Anesthetist, Certified Registered) (Nurse Anesthetist, Certified Registered, ) (All Other Specialties & Provider Types, ) (Nurse Anesthetist, Certified Registered, Physician Assistants & Advanced Practice Nursing Providers)
| PECOS ID | 9032394135 |
| Entity Type | Individual |
| Provider Name | Mr. David Wayne Shaw CRNA |
| Practice Office Address | 7509 MARSHA SHARP FWY LUBBOCK, TX US |
| Practice Office Telephone | 8067447223 |
| Practice Office Fax | 8067403325 |
| Mailing Address | 4515 MARSHA SHARP FWY GRACE CLINIC OF LUBBOCK LUBBOCK, TX 79407 US |
| Business Telephone | 8067447223 |
| Business Fax | 8067403325 |
| Code | Practice | License No State |
|---|---|---|
| 367500000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Anesthetist, Certified Registered Nurse Anesthetist, Certified Registered All Other Specialties & Provider Types Nurse Anesthetist, Certified Registered Physician Assistants & Advanced Practice Nursing Providers | 688169
TX |
| 367500000X PRIMARY | Physician Assistants & Advanced Practice Nursing Providers Nurse Anesthetist, Certified Registered Nurse Anesthetist, Certified Registered All Other Specialties & Provider Types Nurse Anesthetist, Certified Registered Physician Assistants & Advanced Practice Nursing Providers | AP119964
TX |