MEDICARE: SCOTT & WHITE CLINIC

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1407792674
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCOTT & WHITE CLINIC

Provider Business Mailing Address
First Line	:	PO BOX 844658
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-4658
Country	:	US
Telephone Number	:	800-994-0371
Fax Number	:

Provider Business Practice Location Address
First Line	:	2849 BARRON RD
Second Line	:
City	:	COLLEGE STATION
State	:	TX
Zip	:	77845-9171
Country	:	US
Telephone Number	:	979-207-6800
Fax Number	:

Authorized Official
Title or Position	:	SYSTEM DIRECTOR, CBS
Name	:	ALICE CANTU
Credential	:
Telephone Number	:	254-215-9719

Provider Enumeration Date	:	04/28/2026
Last Update Date	:	04/28/2026

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Directions to “SCOTT & WHITE CLINIC ” Practice Location

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