MEDICARE: SCOTT THOMAS PATTISON DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	1368	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8A2741	OTHER	TX	BLUECROSS/BLUESHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023047909
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT THOMAS PATTISON DPM

Provider Business Mailing Address
First Line	:	3201 S AUSTIN AVE
Second Line	:	SUITE 225
City	:	GEORGETOWN
State	:	TX
Zip	:	78626-7545
Country	:	US
Telephone Number	:	512-930-3338
Fax Number	:	512-930-3009

Provider Business Practice Location Address
First Line	:	3201 S AUSTIN AVE
Second Line	:	SUITE 225
City	:	GEORGETOWN
State	:	TX
Zip	:	78626-7545
Country	:	US
Telephone Number	:	512-930-3338
Fax Number	:	512-930-3099

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/02/2006
Last Update Date	:	09/23/2012

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Directions to “ SCOTT THOMAS PATTISON DPM” Practice Location

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