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NPI Code Detail

MEDICARE: DR. KAREN JANE SCOTT D.O.

MEDICARE: DR. KAREN JANE SCOTT D.O.
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
1207Q00000XFamily Medicine PhysicianG0086TX

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 : 1639135148
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KAREN JANE SCOTT D.O.
Provider Business Mailing Address
First Line : 1610 5TH ST
Second Line :
City : LUBBOCK
State : TX
Zip : 79401-2622
Country : US
Telephone Number : 806-765-2611
Fax Number :
Provider Business Practice Location Address
First Line : 1610 5TH ST
Second Line :
City : LUBBOCK
State : TX
Zip : 79401-2622
Country : US
Telephone Number : 806-765-2611
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2006
Last Update Date : 04/01/2019

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Directions to “ DR. KAREN JANE SCOTT D.O.” Practice Location

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