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Individual

JUSTIN SCAFFA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5524 BEE CAVES RD STE H2, WEST LAKE HILLS, TX 78746-5246
(512) 710-0551
(512) 717-6337
Mailing address
PO BOX 3041, MARBLE FALLS, TX 78654-3077
(512) 710-0551
(512) 717-6337

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP128328
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
351351707
TX
Enumeration date
06/19/2015
Last updated
12/29/2025
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