Individual
DR. SCOTT E SHEWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1004 N BIG SPRING ST, SUITE 620, MIDLAND, TX 79701-3354
(432) 570-1421
(432) 570-1427
Mailing address
1004 N BIG SPRING ST, STE 620, MIDLAND, TX 79701-3354
(432) 570-1421
(432) 570-1427
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G9804
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136982906
—
TX
01
—
136982910
DIA CHCSN PROV#
TX
01
—
81759R
SWMI BCBS TX PROV#
TX
01
—
86R223
DIA BCBSTX PROV#
TX
Enumeration date
02/21/2006
Last updated
11/14/2013
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