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NPI Code Detail

MEDICARE: SCOTT OWEN PASCHAL M.D.

MEDICARE:   SCOTT OWEN PASCHAL  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
1207X00000XOrthopaedic Surgery PhysicianG3673TX
2207XS0114XAdult Reconstructive Orthopaedic Surgery PhysicianG3673TX
3207XX0801XOrthopaedic Trauma PhysicianG3673TX
4207XX0005XSports Medicine (Orthopaedic Surgery) PhysicianG3673TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
389034FOTHERTXBCBS
48BZ906OTHERTXBCBS

General Provider Information

NPI Number : 1871599324
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT OWEN PASCHAL M.D.
Provider Business Mailing Address
First Line : 7115 GREENVILLE AVE
Second Line : STE 310
City : DALLAS
State : TX
Zip : 75231-5100
Country : US
Telephone Number : 214-265-3200
Fax Number :
Provider Business Practice Location Address
First Line : 7115 GREENVILLE AVE
Second Line : STE 310
City : DALLAS
State : TX
Zip : 75231-5103
Country : US
Telephone Number : 214-265-3200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2005
Last Update Date : 02/03/2021

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Directions to “ SCOTT OWEN PASCHAL M.D.” Practice Location

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