MEDICARE: MR. J. SCOTT LITTRELL 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	213E00000X	Podiatrist	0480	TX
2	213ES0131X	Foot Surgery Podiatrist	0480	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285628941
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. J. SCOTT LITTRELL DPM

Provider Business Mailing Address
First Line	:	2204 WASHINGTON AVE
Second Line	:
City	:	WACO
State	:	TX
Zip	:	76701-1019
Country	:	US
Telephone Number	:	254-754-1811
Fax Number	:	254-754-1960

Provider Business Practice Location Address
First Line	:	2204 WASHINGTON AVE
Second Line	:
City	:	WACO
State	:	TX
Zip	:	76701-1019
Country	:	US
Telephone Number	:	254-754-1811
Fax Number	:	254-754-1960

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

Provider Enumeration Date	:	09/08/2005
Last Update Date	:	09/11/2025

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Directions to “ MR. J. SCOTT LITTRELL DPM” Practice Location

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