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Individual

VANESSA J SCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
902 W RANDOL MILL RD STE 120, ARLINGTON, TX 76012-2579
(817) 801-1503
(817) 801-1508
Mailing address
902 W RANDOL MILL RD STE 120, ARLINGTON, TX 76012-2579
(817) 801-1503
(817) 801-1508

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
557
WY
363AS0400X
Surgical Physician Assistant
AL
363AS0400X
Surgical Physician Assistant
Primary
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07901322
MS
01
102I975958
MEDICARE
05
126289
AL
05
126868
AL
05
126869
AL
05
126872
AL
01
51112353
BLUE CROSS & BLUE SHIELD
AL
01
51112354
BLUE CROSS & BLUE SHIELD
AL
01
51112355
BLUE CROSS & BLUE SHIELD
AL
01
51112356
BLUE CROSS & BLUE SHIELD
AL
Enumeration date
02/07/2010
Last updated
05/25/2021
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