Scott, Ronald Allen

Scott, Ronald Allen is an individual health care provider with primary practice located at 709 Hollybrook Dr Suite 2301, Longview TX 75605-2411. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Scott, Ronald Allen can be contacted via phone (903) 757-5804.

Contact Information

Primary practice address
709 Hollybrook Dr Suite 2301 Longview TX 75605-2411
Phone: (903) 757-5804
Fax: (903) 232-2889
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X G5587 Texas

Profile Details

NPI number 1922118470
LBN Legal business name Scott, Ronald Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Nov 9th, 2021 - about 3 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 1922118470 NPPES
Texas MEDICAID 130247308

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