Shaw, Daphne Nizza
Shaw, Daphne Nizza is an individual health care provider with primary practice located at 1108 S Henderson St , Fort Worth TX 76104-4430. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Shaw, Daphne Nizza can be contacted via phone (817) 335-3255.Contact Information
Primary practice address
1108 S Henderson St
Fort Worth TX 76104-4430
Phone: (817) 335-3255
Fax: (817) 338-9563
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | L0592 | Texas |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | L0592 | Texas |
Profile Details
| NPI number | 1144221623 |
|---|---|
| LBN Legal business name | Shaw, Daphne Nizza |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Apr 22nd, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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