Shane Foree Spears is a Surgical in Tyler, Texas. Shane Foree Spears practices all healthcare services and medical treatments related to Surgical. The NPI Number for Shane Foree Spears is 1336119916. The last update date is 2023-03-29.
Shane Foree Spears's current location address is 1000 S Beckham Ave, Tyler, Texas. You can contact this provider via phone number 9035905611. The mailing address for Shane Foree Spears is 1000 S Beckham Ave, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shane Foree Spears |
|---|---|
| Address | 1000 S Beckham Ave, Tyler, Texas |
| Phone Number | 9035905611 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C, CCP |
NPI Number Detail
| NPI Number | 1336119916 |
|---|---|
| Provider Enumeration Date | 2006-01-25 |
| Last Updated Date | 2023-03-29 |
Provider Mailing Address Detail
| Address | 1000 S Beckham Ave |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757011908 |
| Phone Number | 9035905611 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | PA10004751 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1060261 | WA | -- | |
| 9468232 | WA | AETNA | |
| 225125 | WA | L&I AND CRIME VICTIMS | |
| 1425SP | WA | REGENCE |
Post Comment/ Review Below
Could you please provide the complete street address where Shane Foree Spears is physically located?
The Shane Foree Spears is physically situated at the following address: 1000 S Beckham Ave, Tyler, TX, 757011908.
What is Shane Foree Spears's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Shane Foree Spears is Surgical, and the taxonomy code that categorizes this field of expertise is 363As0400X.
When did the Shane Foree Spears receive its 1336119916?
The Shane Foree Spears was issued its 1336119916 on 2006-01-25, which is the date when the organization was assigned this unique identifier.
On what date did the Shane Foree Spears receive its 1336119916 assignment from the Centers for Medicare & Medicaid Services?
The Shane Foree Spears was assigned its 1336119916 by the Centers for Medicare & Medicaid Services on 2006-01-25.
As of what date were the Shane Foree Spears's details last updated?
The information pertaining to the Shane Foree Spears, including its address, specialty, and other details, was most recently updated on 2023-03-29.