Spector, Mark Jay
Spector, Mark Jay is an sole proprietor health care provider with primary practice located at 3112 N Jupiter Rd Ste. 213 A, Garland TX 75044-6578. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Spector, Mark Jay can be contacted via phone (972) 530-4655.Contact Information
Primary practice address
3112 N Jupiter Rd Ste. 213 A
Garland TX 75044-6578
Phone: (972) 530-4655
Fax: (972) 495-9500
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 1034 | Texas |
Profile Details
| NPI number | 1982639886 |
|---|---|
| LBN Legal business name | Spector, Mark Jay |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1982639886 | NPPES |
| Texas | MEDICAID | 018658701 |
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