Crocker, Scott Harrison

Crocker, Scott Harrison is an individual health care provider with primary practice located at 1680 Antilley Rd Ste. 260, Abilene TX 79606-5267. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Crocker, Scott Harrison can be contacted via phone (325) 691-5590.

Contact Information

Primary practice address
1680 Antilley Rd Ste. 260 Abilene TX 79606-5267
Phone: (325) 691-5590
Fax: (325) 691-1231
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X H1569 Texas

Profile Details

NPI number 1073505889
LBN Legal business name Crocker, Scott Harrison
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Oct 1st, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073505889 NPPES
Texas MEDICAID 1157661-04

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