Most Relevant Information
Provider Data
| NPI Number: | 1003051079 |
| Provider Name: | CLIFFORD D. SCOTT |
| Entity Type: | Individual |
| Taxonomy Code: | 171W00000X |
| Specialty: | Contractor |
| License Number: | 1016214 |
Most Important Dates
| Enumeration Date: | 12/04/2008 |
| Last Updated: | 12/04/2008 |
Provider Practice Location
525 MAGNOLIA TRL
DESOTO
TX
751151416
Practice Location Phone/Fax
| Phone: | 8175015681 |
| Fax: |
Provider Mailing Location
525 MAGNOLIA TRL
DESOTO
TX
751151416
Provider Mailing Phone/Fax
| Phone: | 8175015681 |
| Fax: |