Individual
MR. SCOTT DAVID MCMENEMY
Active
Individual
MR. SCOTT DAVID MCMENEMY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G8275
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A94Q
BLUE CROSS BLUE SHIELD
TX
01
—
P00038236
RAIL ROAD MEDICARE
TX
Enumeration date
07/20/2005
Last updated
07/08/2007
Update your record
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