Individual
SCOTT BRIAN RANSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
855 MONTGOMERY ST, DEPT OF OB/GYN, FORT WORTH, TX 76107-2553
(817) 735-2000
Mailing address
PO BOX 99335, FORT WORTH, TX 76199-0335
(817) 735-2000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
5101011904
MI
207V00000X
Obstetrics & Gynecology Physician
Primary
N2352
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209583801
—
TX
05
—
4539557
—
MI
01
—
8AA717
BCBS
TX
Enumeration date
08/14/2006
Last updated
05/02/2011
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