Provider Demographics
NPI:1306982871
Name:MCGEE, SCOTT BRYANT
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:BRYANT
Last Name:MCGEE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17207 KUYKENDAHL RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-8423
Mailing Address - Country:US
Mailing Address - Phone:832-698-5320
Mailing Address - Fax:
Practice Address - Street 1:17207 KUYKENDAHL RD
Practice Address - Street 2:SUITE 200
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-8423
Practice Address - Country:US
Practice Address - Phone:832-698-5320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2011-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2395207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX177621301Medicaid
TX8L22593OtherMEDICARE ID OTHER, UNSPECIFIED
TX8L22593OtherMEDICARE ID OTHER, UNSPECIFIED