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Individual

SCOTT E DELACROIX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
200676
LA
208800000X
Urology Physician
N3005
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1067199
LA
05
281459201
TX
Enumeration date
04/10/2007
Last updated
11/19/2024
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