Spencer, Brent Austin
Spencer, Brent Austin is an individual health care provider with primary practice located at 3535 Victory Group Way Ste 200, Frisco TX 75034-6721. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Spencer, Brent Austin can be contacted via phone (972) 712-5100.Contact Information
Primary practice address
3535 Victory Group Way Ste 200
Frisco TX 75034-6721
Phone: (972) 712-5100
Fax: (972) 712-5113
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | M8356 | Texas |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | M8356 | Texas |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | M8356 | Texas |
Profile Details
| NPI number | 1861650947 |
|---|---|
| LBN Legal business name | Spencer, Brent Austin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2008 |
| Last updated | Oct 19th, 2020 - about 6 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 | 1861650947 | NPPES |
| Texas | Other | 8CC921 | BCBSTX INDIVIDUAL ID |
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