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Kevin P Scully, PAC
Physician Assistant in Tyler, Texas
NPI 1730199563

Kevin P Scully is a Physician Assistant based in Fort Worth, TX. Kevin P Scully practices in Tyler, TX and has the professional credentials of PAC. The NPI Number for Kevin P Scully is 1730199563 and holds a License No. PA03374 (Texas).

The current practice location address for Kevin P Scully is 6210 S Broadway Ave, Tyler, TX and can be reached out via phone at 903-579-2718 and via fax at 903-579-2793.

Location: 6210 S Broadway Ave, Tyler, TX, 76199-0371
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730199563
Provider Name
Kevin P Scully
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
6210 S Broadway Ave, Tyler, TX, 76199-0371
Phone Number
903-579-2718
Fax Number
903-579-2793
Provider Enumeration Date
08/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
192484701 05 TX
192484704 05 TX
institution
Provider Business Practice Location Address Details
Address
6210 S Broadway Ave
City
Tyler
State
Texas
Zip
75703-4413
Phone Number
903-579-2718
Fax Number
903-579-2793
person
Provider Business Mailing Address Details
Address
6210 S Broadway Ave
City
Tyler
State
Texas
Zip
75703-4413
Phone Number
903-579-2718
Fax Number
903-579-2793
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA03374 (Texas)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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