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NPI Code Detail

MEDICARE: MR. SCOTT WAYNE CARY PA-C

MEDICARE: MR. SCOTT WAYNE CARY 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
1171000000XMilitary Health Care Provider
2363A00000XPhysician Assistant
3363A00000XPhysician AssistantPA16044TX

General Provider Information

NPI Number : 1306140454
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SCOTT WAYNE CARY PA-C
Provider Business Mailing Address
First Line : 5953 DALLAS PKWY STE 200B
Second Line :
City : PLANO
State : TX
Zip : 75093-8189
Country : US
Telephone Number : 723-785-6989
Fax Number :
Provider Business Practice Location Address
First Line : 5953 DALLAS PKWY STE 200B
Second Line :
City : PLANO
State : TX
Zip : 75093-8189
Country : US
Telephone Number : 972-378-5698
Fax Number : 972-378-2110
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2011
Last Update Date : 01/24/2025

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Directions to “ MR. SCOTT WAYNE CARY PA-C” Practice Location

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