Individual
SCOTT ROBERT WITHERSPOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3414 OAK GROVE AVE, DALLAS, TX 75204-2375
(214) 521-1153
(214) 219-3651
Mailing address
3414 OAK GROVE AVE, DALLAS, TX 75204-2375
(214) 521-1153
(214) 219-3651
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
N2885
TX
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
N2885
TX
Other
Enumeration date
03/15/2007
Last updated
07/23/2024
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