NPI 1003051079

Clifford D. Scott

Practitioner Contractor Desoto, TX

Practice location

Address: 525 Magnolia Trl, Desoto, TX 75115-1416
Phone: (817) 501-5681

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 1016214 (TX)

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Registry record

NPI: 1003051079
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Dec 2008
Record last updated: 4 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.