Spady, David K

Spady, David K is an individual health care provider with primary practice located at 505 S Nolen Dr , Southlake TX 76092-9167. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Spady, David K can be contacted via phone (817) 424-1525.

Contact Information

Primary practice address
505 S Nolen Dr Southlake TX 76092-9167
Fax: (817) 424-3491
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X F8683 Texas

Profile Details

NPI number 1639155005
LBN Legal business name Spady, David K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated May 16th, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639155005 NPPES
Texas Other 8004K2 BCBS

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