Stephen C Spain in Tyler - Family Medicine

Stephen C Spain - NPI 1689718702

Stephen C Spain is a Family Medicine in Tyler, Texas. Stephen C Spain practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Stephen C Spain is 1689718702. The last update date is 2008-01-03.

Stephen C Spain's current location address is 1702 Holly Creek Dr, Tyler, Texas. You can contact this provider via phone number 9035430911. The mailing address for Stephen C Spain is 1702 Holly Creek Dr, Tyler, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Stephen C Spain
Address 1702 Holly Creek Dr, Tyler, Texas
Phone Number 9035430911
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Spain C Stephen
Credentials MD
Telephone Number 9035340911

NPI Number Detail

NPI Number 1689718702
Provider Enumeration Date 2007-02-20
Last Updated Date 2008-01-03

Provider Mailing Address Detail

Address 1702 Holly Creek Dr
City Tyler
State Texas (TX)
Post Code 757030907
Phone Number 9035430911
Fax Number

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
89X859 BLUE CROSS

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FAQs about Stephen C Spain

What is the unique 10-digit identification code issued to Stephen C Spain by the Centers for Medicare & Medicaid Services?

The Stephen C Spain has been assigned the NPI (National Provider Identifier) 1689718702 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Stephen C Spain's facilities are geographically located?

The facilities of Stephen C Spain are physically situated at the following location: 1702 Holly Creek Dr, Tyler, TX, 757030907.

What is Stephen C Spain's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Stephen C Spain is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1689718702 to Stephen C Spain?

The Stephen C Spain received its 1689718702 assignment from the Centers for Medicare & Medicaid Services on 2007-02-20.

When was the information regarding Stephen C Spain most recently updated?

The details pertaining to the Stephen C Spain, including its address, specialty, and other relevant information, were last refreshed on 2008-01-03.

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