Individual
CARLA KOMON DE SOUZA SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD # MC9157, DALLAS, TX 75390-9157
(214) 645-0545
(214) 645-0546
Mailing address
5323 HARRY HINES BLVD # MC9157, DALLAS, TX 75390-9157
(214) 645-0545
(214) 645-0546
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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