Provider Demographics
NPI:1992160857
Name:SCOTT, SARAH ELISABETH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ELISABETH
Last Name:SCOTT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:DODDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:9828 BLACKHAWK BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77075-2246
Mailing Address - Country:US
Mailing Address - Phone:713-991-3762
Mailing Address - Fax:713-991-5419
Practice Address - Street 1:9828 BLACKHAWK BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77075-2246
Practice Address - Country:US
Practice Address - Phone:713-991-3762
Practice Address - Fax:713-991-5419
Is Sole Proprietor?:No
Enumeration Date:2015-12-19
Last Update Date:2015-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50546183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist