MEDICARE: DR. SCOTT LAWRENCE KATZ 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
1	208000000X	Pediatrics Physician	K0502	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1740272566
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT LAWRENCE KATZ M.D.

Provider Business Mailing Address
First Line	:	PO BOX 733784
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75373-3784
Country	:	US
Telephone Number	:	682-885-6483
Fax Number	:	682-885-3113

Provider Business Practice Location Address
First Line	:	4001 W 15TH ST
Second Line	:	SUITE 350
City	:	PLANO
State	:	TX
Zip	:	75093-5841
Country	:	US
Telephone Number	:	972-596-2131
Fax Number	:	972-867-3549

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2005
Last Update Date	:	12/14/2020

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