Individual
DR. ROBERT PICKETT SCRUGGS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3410 WORTH ST, DEPARTMENT OF RADIATION ONCOLOGY, DALLAS, TX 75246-2003
(214) 370-1400
(214) 370-1405
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
D7676
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000J9444
—
NM
05
—
138575902
—
TX
05
—
138575908
—
TX
05
—
138575910
—
TX
05
—
138575913
—
TX
01
—
8R1545
BLUE CROSS OF TEXAS
TX
Enumeration date
06/12/2006
Last updated
08/16/2011
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