Spencer, Andrew O

Spencer, Andrew O is an individual health care provider with primary practice located at 720 Avenue F N , Bay City TX 77414-9573. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Spencer, Andrew O can be contacted via phone (979) 245-2777.

Contact Information

Primary practice address
720 Avenue F N Bay City TX 77414-9573
Phone: (979) 245-2777
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 710567 Texas

Profile Details

NPI number 1760617039
LBN Legal business name Spencer, Andrew O
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2009
Last updated Apr 27th, 2010 - about 16 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 1760617039 NPPES
Texas MEDICAID 202091903

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