Organization Active NPI

Scott & White Clinic

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1649820796
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SCOTT & WHITE CLINIC
Practice address
3500 Gaston Ave
Dallas, TX 75246-2017
Phone
(214) 820-1933
NPI assigned
Sep 19, 2019
Last updated
Aug 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Authorized official

Name
Alicia Cantu
Title
System Director, CBS
Phone
(254) 215-9719

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU
Dermatology Physician 207N00000X NU
Emergency Medicine Physician 207P00000X NU
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU Primary
Obstetrics & Gynecology Physician 207V00000X NU
Ophthalmology Physician 207W00000X NU
Orthopaedic Surgery Physician 207X00000X NU
Otolaryngology Physician 207Y00000X NU
Pediatrics Physician 208000000X NU
Plastic Surgery Physician 208200000X NU
Psychiatry Physician 2084P0800X NU
Diagnostic Radiology Physician 2085R0202X NU
Surgery Physician 208600000X NU
Podiatrist 213E00000X NU

Addresses

Primary practice location

3500 Gaston Ave
Dallas, TX 75246-2017

Mailing address

PO Box 844658
Dallas, TX 75284-4658

Other names 1

  • DALLAS COUNTY PROFESSIONAL SERVICES GROUP Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031223000640 TX Part B Supplier - Clinic/Group Practice 8123923604 Receives reassigned benefits from 3,152 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations (25 of 84)

10815 Ranch Road 2222
Ste A-100
Austin, TX 78730
Phone (512) 327-4262

12129 FM 620 N
Ste 600E
Austin, TX 78750
Phone (512) 336-3400

200 E Cesar Chavez St
Ste G140
Austin, TX 78701
Phone (512) 654-4100

2217 Park Bend Dr
Ste 230
Austin, TX 78758
Phone (512) 220-5401

500 Canyon Ridge Dr
Ste 208
Austin, TX 78753
Phone (512) 654-7800

5625 Eiger Rd
Ste 115
Austin, TX 78735
Phone (512) 654-4550

5625 Eiger Rd
Ste 210
Austin, TX 78735
Phone (512) 339-0440

9521 W US Highway 290
Ste 105
Austin, TX 78736
Phone (512) 654-4300

9800 N Lake Creek Pkwy
Ste 200
Austin, TX 78717
Phone (512) 336-3400

11805 FM 2244 Rd
Ste 100
Bee Cave, TX 78738
Phone (512) 402-9013

16018 W Highway 71 Pass
Bee Cave, TX 78738
Phone (512) 654-3900

1009 Arbor Park Dr
Belton, TX 76513
Phone (254) 724-2437

1505 N Main St
Belton, TX 76513
Phone (254) 933-4000

309 Lake Rd
#A
Belton, TX 76513
Phone (254) 399-5600

604 Highway 290 W
Ste 103
Brenham, TX 77833
Phone (979) 337-5550

604 Highway 290 W
Ste 301
Brenham, TX 77833
Phone (979) 421-2000

2423 Blinn Blvd
Bldg D
Bryan, TX 77802
Phone (254) 297-0460

2612 W Villa Maria Rd
Bryan, TX 77807
Phone (409) 691-3300

5330 Overpass Rd
Buda, TX 78610
Phone (737) 999-6200

5330 Overpass Rd
Ste 100
Buda, TX 78610
Phone (737) 999-6600

1300 E Polk St
Burnet, TX 78611
Phone (512) 715-6400

1280 Arrington Rd
Ste 200
College Station, TX 77845
Phone (979) 207-6550

15195 FM 2154 Rd
College Station, TX 77845
Phone (979) 207-6700

1700 University Dr E
Fl Second
College Station, TX 77840
Phone (979) 207-3636

1700 University Dr E
Ste 200
College Station, TX 77840
Phone (979) 691-3300

Practitioners & affiliated clinicians

Practitioners 3,261

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 3,261

NPI Registry JSON

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1649820796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 GASTON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462017",
            "telephone_number": "214-820-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT & WHITE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-19",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "CANTU",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "SYSTEM DIRECTOR, CBS",
        "authorized_official_telephone_number": "254-215-9719"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DALLAS COUNTY PROFESSIONAL SERVICES GROUP",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "DALLAS COUNTY PROFESSIONAL SERVICES GROUP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.