MEDICARE: SCOTT CASON CRNA

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
1	367500000X	Certified Registered Nurse Anesthetist	532900	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	83844U	OTHER	TX	BCBS PROV #
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	8320UG	OTHER	TX	BCBS
5	P00081749	OTHER	TX	RAILROAD
6	040647	OTHER		RE-CERT #
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063488823
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT CASON CRNA

Provider Business Mailing Address
First Line	:	PO BOX 840853
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-0853
Country	:	US
Telephone Number	:	972-715-5000
Fax Number	:	972-715-9976

Provider Business Practice Location Address
First Line	:	600 S TYLER ST STE 2100
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75208-6248
Country	:	US
Telephone Number	:	972-715-5000
Fax Number	:	972-715-9976

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/23/2006
Last Update Date	:	04/28/2020

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Directions to “ SCOTT CASON CRNA” Practice Location

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