Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | K7189 | TX |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | K7189 | TX |
NPI | 1679533046 |
---|---|
Provider Name | Dr. Scott Mcleod Munroe |
First Address | Dallas, TX 75284-4658 |
Second Address | Temple, TX 76508-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2006 |
Last Update Date | 26/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1590804-01 | (05) | TX |
1590804-02 | CSHCN (01) | TX |
8J5014 | BLUE SHIELD (01) | TX |
P00041345 | RR/MEDICARE (01) | TX |