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Individual

SCOTT WILLIAM TOLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1180 SETON PKWY STE 450, KYLE, TX 78640-6178
(512) 324-1000
(512) 406-6513
Mailing address
1004 W 32ND ST STE 300, AUSTIN, TX 78705-1917
(512) 324-1000
(512) 406-6513

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Q1920
TX
207RI0011X
Interventional Cardiology Physician
Primary
Q1920
TX
208000000X
Pediatrics Physician
Q1920
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
345412601
TX
05
345412602
TX
Enumeration date
04/05/2010
Last updated
04/08/2025
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