Spencer, Scott Edward
Spencer, Scott Edward is an individual health care provider with primary practice located at 2700 E 29Th St 260, Bryan TX 77802-2587. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Spencer, Scott Edward can be contacted via phone (979) 774-0012.Contact Information
Primary practice address
2700 E 29Th St 260
Bryan TX 77802-2587
Phone: (979) 774-0012
Fax: (979) 774-4636
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | L1758 | Texas |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | L1758 | Texas |
Profile Details
| NPI number | 1104864388 |
|---|---|
| LBN Legal business name | Spencer, Scott Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Jun 24th, 2024 - about 2 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 | 1104864388 | NPPES |
| Texas | MEDICAID | 143734501 | |
| Texas | Other | 290014262 |
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