Individual
DR. PHILIP ALAN SCOLARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3802 22ND ST, SUITE 200, LUBBOCK, TX 79410-1107
(806) 791-0188
(806) 788-0470
Mailing address
3802 22ND ST, SUITE 200, LUBBOCK, TX 79410-1107
(806) 791-0188
(806) 788-0470
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
H0799
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120401803
—
TX
01
—
8CD477
BCBS
TX
Enumeration date
10/04/2006
Last updated
02/01/2010
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