Individual
DR. C SCOTT BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1501 S COULTER ST, AMARILLO, TX 79106-1770
(806) 354-1000
(806) 354-1200
Mailing address
PO BOX 2656, BRYAN, TX 77805-2656
(806) 355-9595
(806) 353-1589
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J6323
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050053738
RR MEDICARE
GA
05
—
100648801
—
TX
Enumeration date
05/11/2006
Last updated
01/25/2013
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