Individual
SCOTT MATTHEW PILGRIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 COOPER ST, FORT WORTH, TX 76104-2710
(682) 885-2140
(817) 332-2506
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-1855
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
207RA0002X
Adult Congenital Heart Disease Physician
Primary
P8526
TX
207RC0000X
Cardiovascular Disease Physician
P8526
TX
208000000X
Pediatrics Physician
244234
NY
2080P0202X
Pediatric Cardiology Physician
P8526
TX
Other
Enumeration date
05/30/2007
Last updated
08/08/2023
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