Healthcare Provider Details

I. General information

NPI: 1144137795
Provider Name (Legal Business Name): SCOTT SCHALL CP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2826 RANDOLPH RD STE 201
CHARLOTTE NC
28211-1359
US

IV. Provider business mailing address

28100 SUNSHINE HOLLOW DR
SPRING TX
77386-4793
US

V. Phone/Fax

Practice location:
  • Phone: 980-215-9600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224P00000X
TaxonomyProsthetist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: