Reznik, Scott Ira
Reznik, Scott Ira is an individual health care provider with primary practice located at 5323 Harry Hines Boulevard , Dallas TX 75390-7208. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Reznik, Scott Ira can be contacted via phone (214) 645-7700.Contact Information
Primary practice address
5323 Harry Hines Boulevard
Dallas TX 75390-7208
Phone: (214) 645-7700
Fax: (214) 645-2506
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | M2459 | Texas |
Profile Details
| NPI number | 1821059569 |
|---|---|
| LBN Legal business name | Reznik, Scott Ira |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Oct 1st, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821059569 | NPPES |
| Texas | Other | 8S6325 | BLUE SHIELD |
| Texas | Other | P00269402 | BLUE SHIELD |
| Texas | MEDICAID | 1764102-01 | BLUE SHIELD |
| Texas | Other | 1764102-02 | BLUE SHIELD |
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