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NPI Code Detail

MEDICARE: DR. WALTER DOUGLAS SCOTT D.C.

MEDICARE: DR. WALTER DOUGLAS SCOTT D.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
1111N00000XChiropractor15180TX

General Provider Information

NPI Number : 1669412110
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WALTER DOUGLAS SCOTT D.C.
Provider Business Mailing Address
First Line : 201 SAINT JOSEPH CT STE 120
Second Line :
City : LIBERTY HILL
State : TX
Zip : 78642-3404
Country : US
Telephone Number : 512-962-8912
Fax Number :
Provider Business Practice Location Address
First Line : 201 SAINT JOSEPH CT STE 120
Second Line :
City : LIBERTY HILL
State : TX
Zip : 78642-3404
Country : US
Telephone Number : 512-962-8912
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2006
Last Update Date : 01/24/2024

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