Organization
SCOTT MCMENEMY MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT DAVID MCMENEMY M.D. (OWNER, PRESIDENT)
(281) 980-3376
Entity
Organization
Contact information
Practice address
3425 HIGHWAY 6, SUITE 105, SUGAR LAND, TX 77478-4512
(281) 980-3376
(281) 265-5548
Mailing address
3425 HIGHWAY 6, SUITE 105, SUGAR LAND, TX 77478-4512
(281) 980-3376
(281) 265-5548
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G8275
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A94Q
BLUE CROSS BLUE SHIELD TX
TX
01
—
P00038236
RAIL ROAD MEDICARE
TX
Enumeration date
02/22/2007
Last updated
07/23/2007
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