Basic Information
Provider Information
NPI: 1275911620
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CONANT
FirstName: SCOTT
MiddleName: HOWARD
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 844658
Address2:  
City: DALLAS
State: TX
PostalCode: 752844658
CountryCode: US
TelephoneNumber: 2547242111
FaxNumber:  
Practice Location
Address1: 800 SCOTT AND WHITE DR
Address2:  
City: COLLEGE STATION
State: TX
PostalCode: 778456440
CountryCode: US
TelephoneNumber: 9792074000
FaxNumber: 9792074562
Other Information
ProviderEnumerationDate: 05/18/2015
LastUpdateDate: 12/27/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/27/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000X31499OKN Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 
207X00000XS9280TXY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


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