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Individual

SCOTT OWEN PASCHAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7115 GREENVILLE AVE, STE 310, DALLAS, TX 75231-5103
(214) 265-3200
Mailing address
7115 GREENVILLE AVE, STE 310, DALLAS, TX 75231-5100
(214) 265-3200

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
G3673
TX
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
G3673
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
G3673
TX
207XX0801X
Orthopaedic Trauma Physician
G3673
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
113883602
TX
05
126838502
TX
01
89034F
BCBS
TX
01
8BZ906
BCBS
TX
Enumeration date
06/21/2005
Last updated
02/03/2021
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