Provider Demographics
NPI:1053385435
Name:SCOTT HASTINGS DO INC
Entity type:Organization
Organization Name:SCOTT HASTINGS DO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:HASTINGS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:214-396-9191
Mailing Address - Street 1:11330 LEGACY DR STE 301
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-1217
Mailing Address - Country:US
Mailing Address - Phone:214-396-9191
Mailing Address - Fax:866-404-2878
Practice Address - Street 1:11330 LEGACY DR STE 301
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-1217
Practice Address - Country:US
Practice Address - Phone:214-396-9191
Practice Address - Fax:866-404-2878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-14
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ81496Medicare PIN