| |
3350 Fairview St Pasadena TX 77504-1904 | |
(713) 944-0189 | |
(713) 944-6116 |
Full Name | |
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Speciality | Family Medicine |
Location | 3350 Fairview St, Pasadena, Texas |
Authorized Official Name and Position | David W Spinks (DOCTOR/OWNER) |
Authorized Official Contact | 7139440189 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3350 Fairview St Pasadena TX 77504-1904 Ph: (713) 944-0189 | 3350 Fairview St Pasadena TX 77504-1904 Ph: (713) 944-0189 |
NPI Number | 1851608319 |
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Provider Enumeration Date | 09/06/2010 |
Last Update Date | 01/26/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851608319 | NPI | - | NPPES |
B26612 | Other | TX | UPIN |
115493201 | Medicaid | TX | |
82981S | Other | TX | BCBS PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | F4557 (Texas) | Primary |
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