Individual
CHARLOTTE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
BLDG 2245, 58TH STREET AND 761ST TANK BATTALION AVENUE, FORT HOOD, TX 76544-0000
(254) 287-5029
Mailing address
4204 E STAN SCHLUETER LOOP, KILLEEN, TX 76542-8352
(254) 690-2800
(254) 690-5401
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01636
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8N9121
BLUE SHIELD
TX
01
—
P00269379
RR/MEDICARE
TX
Enumeration date
04/08/2006
Last updated
10/20/2015
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