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NPI Code Detail

MEDICARE: SCOTT & WHITE CLINIC

MEDICARE: SCOTT & WHITE CLINIC
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
1332H00000XEyewear Supplier

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
24356110003OTHERTXRR/MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457314528
Entity Type Code : Organization
Provider Name (Legal Business Name) : SCOTT & WHITE CLINIC
Provider Business Mailing Address
First Line : PO BOX 848496
Second Line :
City : DALLAS
State : TX
Zip : 75284-8496
Country : US
Telephone Number : 254-724-2111
Fax Number :
Provider Business Practice Location Address
First Line : 1815 S 31ST ST
Second Line :
City : TEMPLE
State : TX
Zip : 76504-6728
Country : US
Telephone Number : 254-724-2020
Fax Number : 254-724-9571
Authorized Official
Title or Position : SYSTEM DIRECTOR, CBS
Name : ALICIA CANTU
Credential :
Telephone Number : 254-215-9719
Provider Enumeration Date : 04/10/2006
Last Update Date : 08/01/2024

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Directions to “SCOTT & WHITE CLINIC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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