Individual
MR. SHAUN MICHAEL SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN APRN ACNPC-AG
Contact information
Practice address
3500 GASTON AVE, DALLAS, TX 75246-2088
(214) 820-0111
Mailing address
2710 SWISS AVE, DALLAS, TX 75204-5900
(214) 821-1599
Taxonomy
Speciality
Code
Description
License number
State
163WF0300X
Flight Registered Nurse
666112
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
AP143709
TX
Other
Enumeration date
09/06/2017
Last updated
05/08/2026
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