Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | J3827 | TX |
Y | 208600000X | Surgeon | J3827 | TX |
NPI | 1013993203 |
---|---|
Provider Name | Dr. Scott Edward Kasden |
First Address | Southlake, TX 76092-6829 |
Second Address | Southlake, TX 76092-6829 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2005 |
Last Update Date | 20/04/2016 |