Healthcare Provider Details

I. General information

NPI: 1174443063
Provider Name (Legal Business Name): JANET SCOTT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 W PIPELINE RD STE 1920
HURST TX
76053-5743
US

IV. Provider business mailing address

112 W PIPELINE RD STE 1920
HURST TX
76053-5743
US

V. Phone/Fax

Practice location:
  • Phone: 682-365-4367
  • Fax:
Mailing address:
  • Phone: 682-365-4367
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: