Provider Demographics
NPI:1912981739
Name:CALDWELL, SCOTT EUGENE (PA)
Entity type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:EUGENE
Last Name:CALDWELL
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
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Mailing Address - Street 1:3460 N. DOWLEN RD
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77706-1690
Mailing Address - Country:US
Mailing Address - Phone:409-838-0346
Mailing Address - Fax:409-839-3720
Practice Address - Street 1:3460 N. DOWLEN RD
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77706-1690
Practice Address - Country:US
Practice Address - Phone:409-838-0346
Practice Address - Fax:409-839-3720
Is Sole Proprietor?:No
Enumeration Date:2005-12-05
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXPA00442363A00000X, 363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant