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Organization
SCOTT & WHITE CLINIC
Active
Organization
SCOTT & WHITE CLINIC
Active
Other names
SCOTT & WHITE TRAVIS COUNTY PEDIATRIC GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE CANTU (SYSTEM DIRECTOR, CBS)
(254) 215-9719
Entity
Organization
Contact information
Practice address
1701 E PFLUGERVILLE PKWY, PFLUGERVILLE, TX 78660-8990
(512) 259-6000
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
—
PENDING
—
TX
Enumeration date
08/31/2017
Last updated
08/31/2017
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