Provider Demographics
NPI:1679929723
Name:SCOTT, MEGAN MAGUIRE MARSHALL (MD)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:MAGUIRE MARSHALL
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3113 ROSS ST
Mailing Address - Street 2:REGENCE HEALTH NETWORK
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79103-3460
Mailing Address - Country:US
Mailing Address - Phone:806-374-7341
Mailing Address - Fax:
Practice Address - Street 1:REGENCE HEALTH NETWORK
Practice Address - Street 2:3113 ROSS ST.
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79103
Practice Address - Country:US
Practice Address - Phone:806-374-7341
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-08
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX650984207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine