Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | L7550 | TX |
NPI | 1003878489 |
---|---|
Provider Name | Dr. David L. Scott |
First Address | Dallas, TX 75284-4658 |
Second Address | College Station, TX 77845-6440 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2006 |
Last Update Date | 31/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1606295-01 | (05) | TX |
1606295-02 | CSHCN (01) | TX |
8F2225 | BLUE SHIELD (01) | TX |
H93521 | (02) | TX |
P00132485 | RR/MEDICARE (01) | TX |