Individual
SCOTT E EWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
508 S ADAMS ST STE 100, FORT WORTH, TX 76104-2151
(817) 332-5099
(817) 332-9093
Mailing address
200 W MAGNOLIA AVE, FORT WORTH, TX 76104-7644
(817) 740-8400
(817) 332-9093
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
L7372
TX
207R00000X
Internal Medicine Physician
L7372
TX
207RC0000X
Cardiovascular Disease Physician
L7372
TX
207RI0011X
Interventional Cardiology Physician
Primary
L7372
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0057MP
BCBS
TX
05
—
166774304
—
TX
05
—
166774310
—
TX
01
—
P00660206
RAILROAD MEDICARE
—
Enumeration date
01/16/2006
Last updated
04/28/2025
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