Provider Demographics
NPI:1598756017
Name:SCARBROUGH, JERMAL (DO)
Entity Type:Individual
Prefix:DR
First Name:JERMAL
Middle Name:
Last Name:SCARBROUGH
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19110 BICKHAM DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-5251
Mailing Address - Country:US
Mailing Address - Phone:281-513-5120
Mailing Address - Fax:
Practice Address - Street 1:19110 BICKHAM DR
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-5251
Practice Address - Country:US
Practice Address - Phone:281-513-5120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-03
Last Update Date:2019-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA055022207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine