Individual
MR. JEFFREY L. SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
791 FM 1103, SUITE # 125, CIBOLO, TX 78108
(210) 888-1175
Mailing address
791 FM 1103, SUITE # 125, CIBOLO, TX 78108
(210) 888-1175
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA02211
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192969701
—
TX
01
—
82N653
BCBS
TX
01
—
8370NT
BCBS
TX
Enumeration date
09/02/2006
Last updated
05/03/2016
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