Individual
SCOTT W CLITHEROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11211 TAYLOR DRAPER LN, STE 202, AUSTIN, TX 78759-3916
(512) 674-9021
(512) 342-9949
Mailing address
9708 RAINLILLY LN, AUSTIN, TX 78759-7701
(512) 658-6018
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
J4048
TX
208M00000X
Hospitalist Physician
Primary
J4048
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110171906
RETIRED RAILROAD MEDICARE
—
Enumeration date
07/27/2006
Last updated
02/04/2022
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