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Individual

DR. SCOTT ALAN MCKENNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, FACP

Contact information

Practice address
690 N 14TH ST, THIRD FLOOR, BEAUMONT, TX 77702-1449
(409) 899-7180
(409) 899-7186
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
F6932
TX
207RX0202X
Medical Oncology Physician
Primary
F6932
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
133981401
TX
05
133981402
TX
05
133981404
TX
05
133981405
TX
05
133981408
TX
05
133981409
TX
01
8R1502
BLUE CROSS OF TEXAS
TX
Enumeration date
06/12/2006
Last updated
12/13/2016
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