Scamardo MHT LLC

Organization Active NPI Family Medicine Physician · Navasota, TX

NPI 1194158030 · NPPES record last updated Aug 14, 2013

Key facts

NPI
1194158030
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
License
E7502 (TX)
Legal business name
SCAMARDO MHT LLC
Practice address
501 E Washington Ave
Navasota, TX 77868-3001
Phone
(855) 860-2109
Fax
(855) 814-8428
NPI assigned
Aug 14, 2013
Organization subpart
No

Authorized official

Name
Luke P Scamardo II, MD
Title
Owner
Phone
(936) 825-6444

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X E7502 TX Yes

Addresses

Primary practice location

501 E Washington Ave
Navasota, TX 77868-3001

Mailing address

1515 Heritage Drive
Suite 110
McKinney, TX 75069-3379
Phone (855) 860-2109

Other providers in Navasota, TX

All providers in Navasota, TX · Family Medicine Physician in Texas

Sources for this page

Verify at the official NPI Registry.