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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861650947 NPPES
Texas Other 8CC921 BCBSTX INDIVIDUAL ID

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