Individual
SCOTT GREGORY BEARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
901 W 15TH ST, PLANO, TX 75075-5134
(469) 443-0275
(469) 443-0685
Mailing address
901 W 15TH ST, PLANO, TX 75075-5134
(469) 443-0275
(469) 443-0685
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
841
OK
363AM0700X
Medical Physician Assistant
Primary
PA01612
TX
Other
Enumeration date
11/01/2006
Last updated
10/15/2015
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