Provider Demographics
NPI:1508249558
Name:FLOYD, SCOTT (DPM)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:
Last Name:FLOYD
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3302 COUNTRY CLUB RD
Mailing Address - Street 2:
Mailing Address - City:PANTEGO
Mailing Address - State:TX
Mailing Address - Zip Code:76013-3150
Mailing Address - Country:US
Mailing Address - Phone:281-705-6375
Mailing Address - Fax:817-276-4611
Practice Address - Street 1:3030 MATLOCK RD STE 102
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-2934
Practice Address - Country:US
Practice Address - Phone:817-276-4600
Practice Address - Fax:817-276-4611
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-08
Last Update Date:2019-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2317213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty