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Organization
SCOTT & WHITE CLINIC
Active
Organization
SCOTT & WHITE CLINIC
Active
Other names
SCOTT & WHITE BCS PEDIATRIC GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE CANTU (DIRECTOR, RCO)
(254) 215-9719
Entity
Organization
Contact information
Practice address
1700 UNIVERSITY DR E, COLLEGE STATION, TX 77840-2661
(979) 691-3300
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1266728-09
—
TX
Enumeration date
06/28/2013
Last updated
07/22/2015
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