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Jacob Scivally

NPI 1316714926 · on the registry since 2023

Practice

Address
301 N Washington Ave
Dallas, TX 75246
Phone
(254) 202-1272
Fax
(469) 800-8335
Organisation at this address
Bsw Transplant Services Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
28

Registry record

Primary taxonomy
183700000X
183700000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-12-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas