| Organization Name: | PA CAPT SCOTT PLLC |
| NPI Number: | 1275905341 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEFFREY LEE SCOTT (OWNER) |
| Mailing Address: | 791 Fm 1103 Suite 125 Cibolo |
| State: | TX US |
| Postal Code: | 78108 |
| Phone Number: | 2108881175 |
| Fax Number: | |
| NPI Enumeration Date: | 10/28/2015 |
| NPI Last Update Date: | 12/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |