# MARK EDWARD SCROGGINS, M.D. P.A.

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

## Provider details

- **NPI number:** 1831476142
- **Authorized official:** MARK E SCROGGINS MD (PRESIDENT)
- **Authorized official phone:** (817) 283-8366

## Contact information

- **Practice address:** 2612 HARWOOD RD STE A, BEDFORD, TX 76021-8308
- **Practice address phone:** (817) 283-8366
- **Practice address fax:** (817) 283-8466
- **Mailing address:** 2612 HARWOOD RD STE A, BEDFORD, TX 76021-8308
- **Mailing address phone:** (817) 283-8366
- **Mailing address fax:** (817) 283-8466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | E8892 | TX | Yes |

## Other

- **Enumeration date:** 11/15/2011
- **Last updated:** 11/15/2011