Shadow Scott

Licensed Practical Nurse · Livingston, TX

Individual Active NPI

NPI number 1316431679

Practice location

5238 Old Israel Rd
Livingston, TX 77351-1686
Phone
(936) 252-0951

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NPI record

NPI
1316431679
Entity type
Individual (Type 1)
Enumeration date
June 20, 2018
Last updated
June 20, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Licensed Practical Nurse Primary 164W00000X 340091 TX

About Shadow Scott

Shadow Scott is a healthcare provider registered in the NPI registry with the primary taxonomy Licensed Practical Nurse (code 164W00000X). The practice location is 5238 Old Israel Rd, Livingston, TX 77351-1686. The NPI number 1316431679 was assigned on June 20, 2018 and the record was last updated on June 20, 2018.

Shadow Scott lists a license in the registry: #340091 (TX) for Licensed Practical Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Shadow Scott?

The NPI number is 1316431679.

What is the phone number of Shadow Scott?

The phone number listed for the practice location is (936) 252-0951.

Where is Shadow Scott located?

5238 Old Israel Rd, Livingston, TX 77351-1686.

What is the taxonomy code for Shadow Scott?

The primary taxonomy code is 164W00000X – Licensed Practical Nurse.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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