Shanna Leigh Spence, MD | |
300 E 6th St, Texarkana, AR 71854-5207 | |
(870) 779-6004 | |
(870) 779-6100 |
Full Name | Shanna Leigh Spence |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 300 E 6th St, Texarkana, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255338943 | NPI | - | NPPES |
8B4912 | Other | TRALBLAZERS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | C8442 (Arkansas) | Primary |
207Q00000X | Family Medicine | K1075 (Texas) | Secondary |
Entity Name | General Emergency Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386954873 PECOS PAC ID: 7618148800 Enrollment ID: O20110920000309 |
Mailing Address | Practice Location Address |
---|---|
Shanna Leigh Spence, MD 300 E 6th St, Texarkana, AR 71854-5207 Ph: (870) 779-6004 | Shanna Leigh Spence, MD 300 E 6th St, Texarkana, AR 71854-5207 Ph: (870) 779-6004 |
Dr. Kyle I Diaz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 E 6th St, Texarkana, AR 71854 Phone: 870-779-6000 Fax: 870-779-6093 | |
Dr. Sangeeth Jonathan Samuel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2109 White Oak Ln, Texarkana, AR 71854 Phone: 501-664-6809 | |
Dr. Matthew Wayne Nix, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 E 6th St, Texarkana, AR 71854 Phone: 870-779-6000 Fax: 870-779-6119 | |
Kenneth George Ross, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3417 U Of A Way, Texarkana, AR 71854 Phone: 870-779-6000 Fax: 870-779-6055 | |
Daniel Morgan Tucker, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 600 E 6th St, Texarkana, AR 71854 Phone: 870-779-6000 Fax: 870-779-6093 | |
Alissa Waddell, FNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 401 East St, Texarkana, AR 71854 Phone: 870-216-1223 |