Provider Demographics
NPI:1194053181
Name:RONALD G. SCOTT, M.D., P.A.
Entity type:Organization
Organization Name:RONALD G. SCOTT, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:G
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-473-7860
Mailing Address - Street 1:5960 W PARKER RD STE 278
Mailing Address - Street 2:PMB 168
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-7792
Mailing Address - Country:US
Mailing Address - Phone:214-473-7570
Mailing Address - Fax:214-473-7680
Practice Address - Street 1:1600 COIT RD
Practice Address - Street 2:SUITE 106
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-6174
Practice Address - Country:US
Practice Address - Phone:214-473-7570
Practice Address - Fax:214-473-7680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-02
Last Update Date:2009-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG6011207PE0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0005XAllopathic & Osteopathic PhysiciansEmergency MedicineUndersea and Hyperbaric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB88195Medicare UPIN