Spencer, Charla C

Spencer, Charla C is an individual health care provider with primary practice located at 1720 S Beckham Ave Ste 104 , Tyler TX 75701-4464. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Spencer, Charla C can be contacted via phone (903) 597-2002.

Contact Information

Primary practice address
1720 S Beckham Ave Ste 104 Tyler TX 75701-4464
Phone: (903) 597-2002
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X L0615 Texas
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X L0615 Texas
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X L0615 Texas

Profile Details

NPI number 1700851193
LBN Legal business name Spencer, Charla C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Jul 21st, 2022 - about 2 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 1700851193 NPPES
Texas MEDICAID 039151802
Texas Other 752616977026
Texas Other 75-2616977-136
Texas Other 8A0740
Texas Other 7600108
Texas Other 8FL328
Texas MEDICAID 039151801
Texas MEDICAID 039151804
Texas Other P01572867
Texas Other 123894
Texas MEDICAID 039151805
Texas Other 45-2578435-002

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