Organization
MARK EDWARD SCROGGINS, M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK E SCROGGINS MD (PRESIDENT)
(817) 283-8366
Entity
Organization
Contact information
Practice address
2612 HARWOOD RD STE A, BEDFORD, TX 76021-8308
(817) 283-8366
(817) 283-8466
Mailing address
2612 HARWOOD RD STE A, BEDFORD, TX 76021-8308
(817) 283-8366
(817) 283-8466
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
E8892
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032536701
—
TX
01
—
CM44
MEDICARE ID
TX
Enumeration date
11/15/2011
Last updated
11/15/2011
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