MEDICARE: DR. SCOTT J ASHTON DPM

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	213ES0131X	Foot Surgery Podiatrist	0677	TX

General Provider Information

NPI Number	:	1245389493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT J ASHTON DPM

Provider Business Mailing Address
First Line	:	11613 N CENTRAL EXPY STE 121
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-3842
Country	:	US
Telephone Number	:	214-691-0760
Fax Number	:	877-486-1749

Provider Business Practice Location Address
First Line	:	11613 N CENTRAL EXPY
Second Line	:	# 121
City	:	DALLAS
State	:	TX
Zip	:	75243-3820
Country	:	US
Telephone Number	:	214-691-0760
Fax Number	:	214-691-5434

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

Provider Enumeration Date	:	01/09/2007
Last Update Date	:	02/03/2020

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