Kody Scruggs

NPI 1861988289 · on the registry since 2018 · sole proprietor

Practice

Address: 8035 Memorial Blvd Ste B
Port Arthur, TX 77640
Phone: (409) 344-9307
Organisation at this address: La Costa Of Port Arthur Pa
Golden Triangle Emergency Center, Llc
Golden Triangle Emergency Services Port Arthur
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2018-07-09

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