Spencer, Kristal Lare

Spencer, Kristal Lare is an individual health care provider with primary practice located at 719 W Coke Rd Ste 6 , Winnsboro TX 75494-3060. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Spencer, Kristal Lare can be contacted via phone (903) 342-3760.

Contact Information

Primary practice address
719 W Coke Rd Ste 6 Winnsboro TX 75494-3060
Phone: (903) 342-3760
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 702355 Texas

Profile Details

NPI number 1023444551
LBN Legal business name Spencer, Kristal Lare
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2013
Last updated Jul 3rd, 2017 - about 8 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 1023444551 NPPES
Texas Other 8FD920 BCBS
Texas Other P01569955 BCBS
Texas MEDICAID 352751701 BCBS
Texas Other 75-2616977-029 BCBS
Texas Other 75-2771569-005 BCBS
Texas Other 8349NQ BCBS
Texas Other 75-2616977-066 BCBS
Texas Other P01511483 BCBS
Texas Other 75-2616977-121 BCBS
Texas Other 75-2616977-023 BCBS
Texas MEDICAID 352751702 BCBS

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