Individual
SCOTT BEACHAM SCHUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
201142
LA
2085R0202X
Diagnostic Radiology Physician
L6171
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026336
—
LA
01
—
P00440496
RR MEDICARE
—
01
—
P00474400
RR MEDICARE
—
Enumeration date
08/02/2006
Last updated
04/21/2015
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