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Organization
TODD A SPENCER, MD, PA
Active
Organization
TODD A SPENCER, MD, PA
Active
Parent organization
TODD A SPENCER,MD, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
TODD A SPENCER,MD, PA
Authorized official
TANYA S GREEN (PRACTICE MANAGER)
(469) 806-0777
Entity
Organization
Contact information
Practice address
11970 N CENTRAL EXPY STE 630, DALLAS, TX 75243-3793
(972) 566-7188
(972) 566-2312
Mailing address
PO BOX 269092, OKLAHOMA CITY, OK 73126-9092
(469) 806-0777
(469) 694-8434
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
L3839
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0038TA
BCBS
TX
05
—
157541702
—
TX
Enumeration date
08/19/2009
Last updated
12/31/2025
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