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Individual

DR. SCOTT RYAN SEALS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3144 HORIZON RD STE 110, ROCKWALL, TX 75032-7046
(972) 771-3322
(972) 771-0272
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
202248
LA
207RX0202X
Medical Oncology Physician
Primary
Q1297
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09189500
MS
05
1091383
LA
05
341884002
TX
05
341884003
TX
01
P00773785
MEDICARE RAILROAD
MS
01
P01867713
RAILROAD
TX
Enumeration date
08/05/2007
Last updated
08/14/2024
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