Stephen C Spain

LBN: Stephen C Spain
Stephen C Spain is an health care organization with primary practice located at 455 Rice Rd , Tyler TX 75703. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Stephen C Spain can be contacted via phone (903) 534-0911, or through Spain, Stephen C via phone (903) 534-0911.

Contact Information

Primary practice address
455 Rice Rd Tyler TX 75703
Phone: (903) 534-0911
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Spain, Stephen C Doctor of Medicine (MD)
Phone: (903) 534-0911

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1689718702
LBN Legal business name Stephen C Spain
DBA Doing business as
Authorized official Spain, Stephen C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2007
Last updated Jan 3rd, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689718702 NPPES
Other 89X859 BLUE CROSS

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