Individual
DR. SCOTT MCLEOD MUNROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
K7189
TX
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
K7189
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1590804-01
—
TX
01
—
1590804-02
CSHCN
TX
01
—
8J5014
BLUE SHIELD
TX
01
—
P00041345
RR/MEDICARE
TX
Enumeration date
03/28/2006
Last updated
01/26/2022
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