Healthcare Provider Details

I. General information

NPI: 1306982871
Provider Name (Legal Business Name): SCOTT BRYANT MCGEE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 09/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17207 KUYKENDAHL RD SUITE 200
SPRING TX
77379-8423
US

IV. Provider business mailing address

17207 KUYKENDAHL RD SUITE 200
SPRING TX
77379-8423
US

V. Phone/Fax

Practice location:
  • Phone: 832-698-5320
  • Fax:
Mailing address:
  • Phone: 832-698-5320
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberM2395
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: