Basic Information
| Provider Information | |||||||||
| NPI: | 1841359700 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MACLEOD | ||||||||
| FirstName: | SCOTT | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3827 N 10TH ST STE 305 | ||||||||
| Address2: | |||||||||
| City: | MCALLEN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 785011745 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7027967546 | ||||||||
| FaxNumber: | 7028696146 | ||||||||
| Practice Location | |||||||||
| Address1: | 653 N TOWN CENTER DR | ||||||||
| Address2: | |||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891440514 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7027967546 | ||||||||
| FaxNumber: | 7028696146 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/07/2006 | ||||||||
| LastUpdateDate: | 08/12/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 08/12/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208D00000X | 610 | NV | Y | Allopathic & Osteopathic Physicians | General Practice |
ID Information
| ID | Type | State | Issuer | Description | P00287084 | 01 | NV | RR MEDICARE | OTHER | CC8832 | 01 | NV | ANTHEM | OTHER | CC8832 | 01 | NV | BCBS | OTHER |