Individual
DR. SCOTT ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3500 GASTON AVE, DALLAS, TX 75246-2017
(800) 841-4236
Mailing address
PO BOX 678253, DALLAS, TX 75267-8253
(800) 841-4236
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
203681
LA
2085R0202X
Diagnostic Radiology Physician
Primary
M6486
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2104055
—
LA
01
—
4M935F600
MEDICARE - PTAN
LA
Enumeration date
05/23/2007
Last updated
09/30/2016
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