Charla C Spencer is a Gynecology in Tyler, Texas. Charla C Spencer practices all healthcare services and medical treatments related to Gynecology. The NPI Number for Charla C Spencer is 1700851193. The last update date is 2022-07-21.
Charla C Spencer's current location address is 1720 S Beckham Ave Ste 104, Tyler, Texas. You can contact this provider via phone number 9035972002. The mailing address for Charla C Spencer is 1720 S Beckham Ave Ste 104, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charla C Spencer |
|---|---|
| Address | 1720 S Beckham Ave Ste 104, Tyler, Texas |
| Phone Number | 9035972002 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1700851193 |
|---|---|
| Provider Enumeration Date | 2006-02-21 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 1720 S Beckham Ave Ste 104 |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757014464 |
| Phone Number | 9035972002 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Gynecology |
|---|---|
| Taxonomy | 207Vg0400X |
| Licence No | L0615 |
|
Definition: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39151802 | TX | -- | |
| 752616977026 | TX | TRICARE | |
| 75-2616977-136 | TX | TRICARE | |
| 8A0740 | TX | BCBS OF TEXAS | |
| 7600108 | TX | AETNA | |
| 8FL328 | TX | BCBS | |
| 39151801 | TX | -- | |
| 39151804 | TX | -- | |
| P01572867 | TX | RAIL ROAD MEDICARE | |
| 123894 | TX | SUPERIOR CHIPS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Charla C Spencer?
The Charla C Spencer has been issued the NPI (National Provider Identifier) 1700851193 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Charla C Spencer's facilities are geographically located?
The facilities of Charla C Spencer are physically situated at the following location: 1720 S Beckham Ave Ste 104, Tyler, TX, 757014464.
What is the area of specialization for Charla C Spencer, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Charla C Spencer is Gynecology, and the corresponding taxonomy code that categorizes this area of expertise is 207Vg0400X.
On what date did Charla C Spencer receive its 1700851193 assignment from the Centers for Medicare & Medicaid Services?
The Charla C Spencer was assigned its 1700851193 on 2006-02-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Charla C Spencer, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Charla C Spencer, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-07-21.