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
Phone: (737) 247-7200
Fax: (512) 406-7368
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710969415 | NPPES |
| Texas | MEDICAID | 302726002 | |
| Texas | MEDICAID | 302726003 | |
| Texas | MEDICAID | 302726001 | |
| Texas | MEDICAID | 302726004 |
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