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Individual
DR. SCOTT WADE BARCLAY
Active
Individual
DR. SCOTT WADE BARCLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J6319
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044450702
—
TX
05
—
044450703 (SMMC)
—
TX
01
—
8BE674
BCBS OF TX
TX
Enumeration date
01/25/2006
Last updated
08/01/2013
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