Spencer, Elyse A.

Spencer, Elyse A. is an individual health care provider with primary practice located at 7044 Lebanon Rd Suite 102, Frisco TX 75034-7458. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Spencer, Elyse A. can be contacted via phone (936) 828-6644.

Contact Information

Primary practice address
7044 Lebanon Rd Suite 102 Frisco TX 75034-7458
Phone: (936) 828-6644
Fax: (972) 712-5113
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA04705 Texas

Profile Details

NPI number 1740243096
LBN Legal business name Spencer, Elyse A.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2006
Last updated Sep 23rd, 2011 - about 13 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 1740243096 NPPES
Texas Other 8N9949 BLUE SHIELD

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