Individual
SCOTT W BREEZE
Active
Individual
SCOTT W BREEZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
J3284
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0855346
AETNA HMO
TX
05
—
123991504
—
TX
05
—
123991505
—
TX
05
—
123991506
—
TX
05
—
123991507
—
TX
05
—
123991508
—
TX
01
—
200024146
RAIL ROAD MEDICARE
TX
01
—
3354546
BLUE LINK
TX
01
—
5789173
AETNA PPO
TX
01
—
80310B
BCBS
TX
01
—
J3284
STATE LICENSE
TX
01
—
P01084626
RAILROAD
TX
Enumeration date
06/21/2005
Last updated
02/27/2020
Update your record
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