Doctor Name: | MS. ALICIA D SCOGGINS |
NPI Number: | 1407899495 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNCP |
License Number: | 564484 |
Business Practice Address: | 900 West Bluff Woodville, TX - 759790900 |
Business Phone Number: | 4093310202 |
Business Fax Number: | 4093310222 |
Mailing Address: | 900 West Bluff, WOODVILLE |
State: | TX |
Postal Code: | 759790900 |
Phone Number: | 4093310202 |
Fax Number: | 4093310222 |
NPI Enumeration Date: | 06/14/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | 564484 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |