Provider Demographics
NPI:1518197425
Name:SCOTT, SHERRY LARRAINE (MD)
Entity Type:Individual
Prefix:DR
First Name:SHERRY
Middle Name:LARRAINE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:740 6TH ST SW
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75460-8530
Mailing Address - Country:US
Mailing Address - Phone:903-785-4561
Mailing Address - Fax:903-737-9924
Practice Address - Street 1:740 6TH ST SW
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75460-8530
Practice Address - Country:US
Practice Address - Phone:903-785-4561
Practice Address - Fax:903-737-9924
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-27
Last Update Date:2009-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ7844208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics