Individual
SCOTT J. POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1725 S INTERSTATE 35 E STE 101, DENTON, TX 76205-6603
(940) 808-0949
(903) 438-2197
Mailing address
PO BOX 9477, TYLER, TX 75711-9477
(903) 594-2450
(903) 594-2450
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
L8897
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168090201
—
TX
05
—
168090202
—
TX
01
—
8S6184
BLUE CROSS
TX
01
—
P00282718
RAILROAD MEDICARE
TX
Enumeration date
05/24/2005
Last updated
07/28/2022
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