Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 2217 | TX |
NPI | 1093154189 |
---|---|
Provider Name | Britton Scott Plemmons |
First Address | Longview, TX 75605 |
Second Address | Longview, TX 75605-8162 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2013 |
Last Update Date | 31/07/2017 |