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NPI Code Detail

MEDICARE: DR. HAROLD SCOTT PINE MD

MEDICARE: DR. HAROLD SCOTT PINE MD
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
1207Y00000XOtolaryngology PhysicianN2246TX
2207YP0228XPediatric Otolaryngology PhysicianN2246TX

General Provider Information

NPI Number : 1205838612
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HAROLD SCOTT PINE MD
Provider Business Mailing Address
First Line : PO BOX 650859, DEPT. 710
Second Line :
City : DALLAS
State : TX
Zip : 75265-0859
Country : US
Telephone Number : 409-772-2222
Fax Number :
Provider Business Practice Location Address
First Line : 700 UNIVERSITY BLVD
Second Line :
City : GALVESTON
State : TX
Zip : 77555-5552
Country : US
Telephone Number : 281-338-0829
Fax Number : 281-557-7284
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2005
Last Update Date : 08/25/2025

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Directions to “ DR. HAROLD SCOTT PINE MD” Practice Location

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