Mr. Scott Frederick Mcgough
Physical Therapist - Orthopedic
724 W Main St Ste 180
Lewisville
, Texas 75067-3583
Mr. Scott Frederick Mcgough
Physical Therapist - Orthopedic
724 W Main St Ste 180
Lewisville
, Texas 75067-3583
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About
Features
Specialties
- Physical Therapist - Orthopedic
Languages spoken
- English
Location
First Address
- Mr. Scott Frederick Mcgough
- 724 W Main St Ste 180
- Lewisville, TX
- Zip : 75067-3583
- Phone :
Second Address
- Mr. Scott Frederick Mcgough
- 724 W Main St Ste 180
- Lewisville, TX
- Zip : 75067-3583
- Fax : (972) 434-2784
- Phone : (972) 434-6024
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251X0800X | Physical Therapist - Orthopedic | 1116499 | TX |
National Provider Identifier
| NPI | 1053322883 |
|---|---|
| Provider Name | Mr. Scott Frederick Mcgough |
| First Address | Lewisville, TX 75067-3583 |
| Second Address | Lewisville, TX 75067-3583 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/08/2006 |
| Last Update Date | 29/08/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1643306 01 | (05) | TX |
| 83610T | BLUE CROSS PROVIDER NUMBE (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.