Individual
JON S SCARBOROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
108 DENVER TRL, AZLE, TX 76020-3614
(817) 444-8670
Mailing address
PO BOX 8549, FORT WORTH, TX 76124-0549
(817) 451-4208
(817) 563-3699
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
H2757
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0094BP
BCBS
TX
05
—
133703204
—
TX
05
—
133703208
—
TX
Enumeration date
06/14/2006
Last updated
11/14/2014
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