WILLIAM A SHAVER, MD PA
Medical Practice at Broadway, Lubbock, TX

License number
Texas G0104
Category
Medical Practice
Type
Specialist
Owner
Name: DR. WILLIAM A SHAVER MD
Title: OWNER
Phone: (806) 799-3644
Address
Address
2405 Broadway, Lubbock, TX 79401
National Provider ID: 1275714479
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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WILLIAM SHAVER, M.D., PA

2405 Broadway, Lubbock, TX 79401

Doing business as:
William Shaver, M.D., PA
Registration:
Jun 8, 1992
State ID:
0081378703
Business type:
Professional Association
President , Director , Member , Secretary:
William Shaver (President , Director , Member , Secretary)
TIN:
32036026436

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