Individual
DR. SCOTT WENGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
815 IRA E WOODS AVE, STE 100, GRAPEVINE, TX 76051-4009
(817) 421-0505
(817) 421-6060
Mailing address
815 IRA E WOODS AVE, STE 100, GRAPEVINE, TX 76051-4009
(817) 421-0505
(817) 421-6060
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
L7249
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8CC557
BCBS
TX
Enumeration date
04/03/2006
Last updated
04/10/2017
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