MEDICARE: MR. WILLIAM E SCOTT PA-C

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	363AM0700X	Medical Physician Assistant	PA00631	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	TXB154069	OTHER	TX	WELLMED MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	PA00631	OTHER	TX	TX PA LICENSE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205834025
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. WILLIAM E SCOTT PA-C

Provider Business Mailing Address
First Line	:	415 EMBASSY OAKS
Second Line	:	SUITE 200
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-2040
Country	:	US
Telephone Number	:	210-490-9087
Fax Number	:	210-490-9111

Provider Business Practice Location Address
First Line	:	415 EMBASSY OAKS
Second Line	:	SUITE 200
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-2040
Country	:	US
Telephone Number	:	210-490-9087
Fax Number	:	210-490-9111

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

Provider Enumeration Date	:	07/14/2005
Last Update Date	:	10/18/2016

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Directions to “ MR. WILLIAM E SCOTT PA-C” Practice Location

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