Spence, Timothy Aaron

Spence, Timothy Aaron is an individual health care provider with primary practice located at 12221 N Mopac Expy , Austin TX 78758-2401. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Spence, Timothy Aaron can be contacted via phone (737) 247-7200.

Contact Information

Primary practice address
12221 N Mopac Expy Austin TX 78758-2401
Fax: (512) 406-7368
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD00049218 Washington
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 00025763 Alabama
Allopathic & Osteopathic Physicians / Pediatrics 208000000X P2534 Texas
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X P2534 Texas

Profile Details

NPI number 1710969415
LBN Legal business name Spence, Timothy Aaron
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Oct 16th, 2018 - about 6 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 1710969415 NPPES
Texas MEDICAID 302726002
Texas MEDICAID 302726003
Texas MEDICAID 302726001
Texas MEDICAID 302726004

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