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Individual

PETER D SCHOLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.,M.D.

Contact information

Practice address
7200 WYOMING SPRINGS DR STE 1400, ROUND ROCK, TX 78681-4306
(512) 458-6391
(512) 580-0097
Mailing address
7200 WYOMING SPRINGS DR STE 1400, ROUND ROCK, TX 78681-4306
(512) 458-6391
(512) 580-0097

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G0078
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4260748
AETNA
TX
01
83C682
BCBS
TX
01
G0078
STATE LICENSE
TX
Enumeration date
01/30/2006
Last updated
11/24/2020
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