Provider Demographics
NPI:1306140454
Name:CARY, SCOTT WAYNE (PA-C)
Entity type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:WAYNE
Last Name:CARY
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5953 DALLAS PKWY STE 200B
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-8189
Mailing Address - Country:US
Mailing Address - Phone:723-785-6989
Mailing Address - Fax:
Practice Address - Street 1:5953 DALLAS PKWY STE 200B
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8189
Practice Address - Country:US
Practice Address - Phone:972-378-5698
Practice Address - Fax:972-378-2110
Is Sole Proprietor?:No
Enumeration Date:2011-01-04
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171000000X, 363A00000X
TXPA16044363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No171000000XOther Service ProvidersMilitary Health Care Provider