Provider Demographics
NPI:1003016718
Name:HRNACK, SCOTT ALLAN (MD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:ALLAN
Last Name:HRNACK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1149 KELLER PKWY STE A
Mailing Address - Street 2:
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76248-1620
Mailing Address - Country:US
Mailing Address - Phone:817-562-1040
Mailing Address - Fax:817-562-1043
Practice Address - Street 1:1149 KELLER PKWY STE A
Practice Address - Street 2:
Practice Address - City:KELLER
Practice Address - State:TX
Practice Address - Zip Code:76248-1620
Practice Address - Country:US
Practice Address - Phone:817-562-1040
Practice Address - Fax:817-562-1043
Is Sole Proprietor?:No
Enumeration Date:2007-07-20
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM7280207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8KW883OtherBCBS
TXP02247588OtherRAILROAD MEDICARE
TX219943201Medicaid
TX804333OtherMEDICARE PIN
TX8CL990OtherBCBS