Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | M7280 | TX |
NPI | 1003016718 |
---|---|
Provider Name | Dr. Scott Allan Hrnack |
First Address | Keller, TX 76248-1620 |
Second Address | Keller, TX 76248-1620 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2007 |
Last Update Date | 20/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
219943201 | (05) | TX |
804333 | MEDICARE PIN (01) | TX |
8CL990 | BCBS (01) | TX |
8KW883 | BCBS (01) | TX |
P02247588 | RAILROAD MEDICARE (01) | TX |