Spencer, Todd A
Spencer, Todd A is an sole proprietor health care provider with primary practice located at 7777 Forest Ln Suite C516, Dallas TX 75230-2571. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Spencer, Todd A can be contacted via phone (972) 566-7188.Contact Information
Primary practice address
7777 Forest Ln Suite C516
Dallas TX 75230-2571
Phone: (972) 566-7188
Fax: (972) 566-2312
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | L3839 | Texas |
Profile Details
| NPI number | 1952343857 |
|---|---|
| LBN Legal business name | Spencer, Todd A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Dec 16th, 2011 - about 14 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 | 1952343857 | NPPES |
| Texas | MEDICAID | 157541702 | |
| Texas | Other | 8CS027 |
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