# SCOTT & WHITE HOSPITAL - ROUND ROCK

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ROUND ROCK DME PODIATRY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053805069
- **Authorized official:** JAY FOX (CEO)
- **Authorized official phone:** (512) 509-0409

## Contact information

- **Practice address:** 300 UNIVERSITY BLVD, BLDG A, 2ND FLOOR, ROUND ROCK, TX 78665
- **Practice address phone:** (512) 509-0200
- **Mailing address:** PO BOX 844658, DALLAS, TX 75284-4658
- **Mailing address phone:** (800) 994-0371
- **Mailing address fax:** (254) 215-9722

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 06/22/2018
- **Last updated:** 01/22/2020