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Individual

SCOTT L GREENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1305 AIRPORT FWY, 301, BEDFORD, TX 76021-6605
(682) 223-9120
(682) 223-9111
Mailing address
16980 DALLAS PKWY, #200, DALLAS, TX 75248-1908
(682) 223-9120
(682) 223-9111

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M4120
TX
207RC0000X
Cardiovascular Disease Physician
M4120
TX
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
M4120
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8CG969
BCBS
TX
Enumeration date
07/17/2006
Last updated
04/23/2014
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