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Individual
KRISTAL LARE SPENCER
Active
Individual
KRISTAL LARE SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
702355
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
352751701
—
TX
05
—
352751702
—
TX
01
—
75-2616977-023
TRICARE
TX
01
—
75-2616977-029
TRICARE
TX
01
—
75-2616977-066
TRICARE
TX
01
—
75-2616977-121
TRICARE
TX
01
—
75-2771569-005
TRICARE
TX
01
—
8349NQ
BCBS
TX
01
—
8FD920
BCBS
TX
01
—
P01511483
RAIL ROAD MEDICARE
TX
01
—
P01569955
RAIL ROAD MEDICARE
TX
Enumeration date
09/16/2013
Last updated
12/08/2025
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