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Individual

CLEMENTINA ROSE SCOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
23900 KATY FWY, KATY, TX 77494-1323
(713) 500-2014
Mailing address
1140 BUSINESS CENTER DR STE 201, HOUSTON, TX 77043-2744
(713) 842-7833

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
AP141984
TX
363LF0000X
Family Nurse Practitioner
Primary
AP141984
TX

Other

Enumeration date
07/04/2019
Last updated
07/04/2019
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