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NPI Code Detail

MEDICARE: JOANNA SCOON

MEDICARE: JOANNA SCOON
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
1207RP1001XPulmonary Disease PhysicianS5769TX
2207RC0200XCritical Care Medicine (Internal Medicine) PhysicianS5769TX

General Provider Information

NPI Number : 1053706820
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANNA SCOON
Provider Business Mailing Address
First Line : PO BOX 58538
Second Line :
City : WEBSTER
State : TX
Zip : 77598-8538
Country : US
Telephone Number : 346-250-5520
Fax Number : 346-200-3255
Provider Business Practice Location Address
First Line : 4615 SOUTHWEST FWY STE 850
Second Line :
City : HOUSTON
State : TX
Zip : 77027-7162
Country : US
Telephone Number : 346-250-5520
Fax Number : 346-200-3255
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2015
Last Update Date : 01/29/2026

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