Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carl R Shaw, MD

Individual provider Pediatric Emergency Medicine (Pediatrics) Physician · NPI 1740360189

Carl R Shaw, MD is a Pediatric Medicine in Fort Worth, Texas. Graduated from Baylor College of Medicine in 1998, 28 years ago. Practices with Cook Childrens Physician Network, a 301-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
28
Trained at
Baylor College of Medicine
Licensed in
TX
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

801 7th Ave
Fort Worth, TX 76104-2733
Phone: (682) 885-3199
Fax: (682) 885-7499
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Emergency Medicine (Pediatrics) Physician (primary) Taxonomy 2080P0204X · Licence L9477 (TX)

Record details

NPI number1740360189
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 17, 2006
Last updated in NPPESMay 10, 2021
Certification dateMay 10, 2021
Mailing addressPo Box 733784, Dallas, TX 75373-3784

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Also practisesEMERGENCY MEDICINE
Medical schoolBAYLOR COLLEGE OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice Cook Childrens Physician Network — 301 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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