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Organization
SCOTT & WHITE CLINIC
Active
Organization
SCOTT & WHITE CLINIC
Active
Other names
SCOTT & WHITE CLINIC BCS EPSDT
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE CANTU (DIVSION 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
—
—
Other
Enumeration date
03/16/2007
Last updated
06/04/2015
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