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Organization
SCOTT AND WHITE CLINIC
Active
Organization
SCOTT AND WHITE CLINIC
Active
Other names
BCBS - Pediatric Specialist Only
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE CANTU (ASSOC VICE PRES, RCO)
(254) 215-9719
Entity
Organization
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0068NC
BLUE CROSS BLUE SHIELD
TX
Enumeration date
03/14/2007
Last updated
06/11/2013
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