MEDICARE: SCOTT C STOWERS D.O.

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	208600000X	Surgery Physician	H4733	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8FU759	OTHER	TX	BCBSTX

General Provider Information

NPI Number	:	1740228196
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT C STOWERS D.O.

Provider Business Mailing Address
First Line	:	PO BOX 552
Second Line	:
City	:	BRIDGEPORT
State	:	TX
Zip	:	76426-0552
Country	:	US
Telephone Number	:	940-577-2090
Fax Number	:	972-201-9667

Provider Business Practice Location Address
First Line	:	5575 WARREN PARKWAY
Second Line	:	PROFESSIONAL BUILDING I - SUITE 304
City	:	FRISCO
State	:	TX
Zip	:	75034-7503
Country	:	US
Telephone Number	:	940-577-2090
Fax Number	:	972-201-9667

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

Provider Enumeration Date	:	06/04/2006
Last Update Date	:	04/05/2022

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Directions to “ SCOTT C STOWERS D.O.” Practice Location

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