Healthcare Provider Details

I. General information

NPI: 1598756017
Provider Name (Legal Business Name): JERMAL SCARBROUGH D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2005
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9915 BARKER CYPRESS RD STE 200
CYPRESS TX
77433-1203
US

IV. Provider business mailing address

19110 BICKHAM DR
CYPRESS TX
77433-5251
US

V. Phone/Fax

Practice location:
  • Phone: 281-737-1555
  • Fax:
Mailing address:
  • Phone: 281-513-5120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberR2733
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: