# TEXAS ORAL MAXILLOFACIAL SURGERY ASSOCIATES, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821219866
- **Authorized official:** MALCOLM RAY SCOTT D.D.S. (PRESIDENT)
- **Authorized official phone:** (512) 371-1222

## Contact information

- **Practice address:** 5656 BEE CAVE RD, SUITE C102, WEST LAKE HILLS, TX 78746-5280
- **Practice address phone:** (512) 327-9933
- **Practice address fax:** (512) 327-9944
- **Mailing address:** 7517 CAMERON RD, SUITE 107, AUSTIN, TX 78752-2057
- **Mailing address phone:** (512) 371-1222
- **Mailing address fax:** (512) 371-3914

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 15192 | TX | Yes |

## Other

- **Enumeration date:** 05/01/2007
- **Last updated:** 08/22/2020