Spencer, Todd A

Spencer, Todd A is an sole proprietor health care provider with primary practice located at 7777 Forest Ln Suite C516, Dallas TX 75230-2571. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Spencer, Todd A can be contacted via phone (972) 566-7188.

Contact Information

Primary practice address
7777 Forest Ln Suite C516 Dallas TX 75230-2571
Phone: (972) 566-7188
Fax: (972) 566-2312
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X L3839 Texas

Profile Details

NPI number 1952343857
LBN Legal business name Spencer, Todd A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2006
Last updated Dec 16th, 2011 - about 15 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 1952343857 NPPES
Texas MEDICAID 157541702
Texas Other 8CS027

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