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NPI Code Detail

MEDICARE: MARVETTA A. SCOTT M.D.

MEDICARE: MARVETTA A. SCOTT M.D.
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
1207R00000XInternal Medicine PhysicianP7980TX

General Provider Information

NPI Number : 1508849183
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARVETTA A. SCOTT M.D.
Provider Business Mailing Address
First Line : 8300 DOUGLAS AVE STE 800
Second Line :
City : DALLAS
State : TX
Zip : 75225-5826
Country : US
Telephone Number : 817-381-6813
Fax Number :
Provider Business Practice Location Address
First Line : 8300 DOUGLAS AVE STE 800
Second Line :
City : DALLAS
State : TX
Zip : 75225-5826
Country : US
Telephone Number : 817-381-6813
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2005
Last Update Date : 06/25/2022

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Directions to “ MARVETTA A. SCOTT M.D.” Practice Location

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