KEVIN P. SPENCER, MD, PA


Address: 8100 Cobblestone, Austin, TX 78735-7902
Phone: 5128927076

KEVIN P. SPENCER, MD, PA (NPI# 1477661155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477661155
Entity Type Organization
Organization Name KEVIN P. SPENCER, MD, PA
Practice Address 8100 Cobblestone
Austin
TX 78735-7902
Practice Telephone 5128927076
Practice Fax Number 5128998460
Mailing Telephone 5128927076
Mailing Fax Number 5128998460
Enumeration Date 2006-08-25
Last Update Date 2020-08-22
Authorized Official Name DR. KEVIN P SPENCER (PHYSICIAN)
Authorized Official Telephone 5128927076
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Office Location

Street Address 8100 COBBLESTONE
City AUSTIN
State TX
Zip Code 78735-7902

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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City AUSTIN
Zip Code 78735

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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