Organization Active NPI

PA Capt Scott PLLC

  • Urgent Care Clinic/Center
  • Cibolo, TX
National Provider Identifier
1275905341
Registry record updated Dec 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
PA CAPT SCOTT PLLC
Practice address
791 FM 1103
Suite 125
Cibolo, TX 78108
Phone
(210) 888-1175
NPI assigned
Oct 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jeffrey Lee Scott, PA-C
Title
Owner
Phone
(210) 286-7799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X TX Primary

Addresses

Primary practice location

791 FM 1103
Suite 125
Cibolo, TX 78108

Mailing address

791 FM 1103
Ste 125
Cibolo, TX 78108-3672
Phone (210) 888-1175

Other names 1

  • Fast-Tex Urgent Care Doing business as

National Provider Directory

National Provider Directory

Locations

791 FM 1103
Ste 100
Cibolo, TX 78108

791 FM 1103
Ste 125
Cibolo, TX 78108
Phone (210) 888-1175

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1275905341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 FM 1103",
            "address_2": "STE 125",
            "city": "CIBOLO",
            "state": "TX",
            "postal_code": "781083672",
            "telephone_number": "210-888-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 FM 1103",
            "address_2": "SUITE 125",
            "city": "CIBOLO",
            "state": "TX",
            "postal_code": "78108",
            "telephone_number": "210-888-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PA CAPT SCOTT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-286-7799",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fast-Tex Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cibolo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.