Individual
SCOTT W BREEZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22001 SOUTHWEST FWY STE 300, RICHMOND, TX 77469-7001
(281) 633-4940
(281) 633-4943
Mailing address
4911 SANDHILL DR, SUGAR LAND, TX 77479-5320
(281) 238-7870
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
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