Spencer, Scott Edward

Spencer, Scott Edward is an individual health care provider with primary practice located at 2700 E 29Th St 260, Bryan TX 77802-2587. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Spencer, Scott Edward can be contacted via phone (979) 774-0012.

Contact Information

Primary practice address
2700 E 29Th St 260 Bryan TX 77802-2587
Phone: (979) 774-0012
Fax: (979) 774-4636
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X L1758 Texas
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X L1758 Texas

Profile Details

NPI number 1104864388
LBN Legal business name Spencer, Scott Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Jun 24th, 2024 - about last year

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 1104864388 NPPES
Texas MEDICAID 143734501
Texas Other 290014262

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