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Organization
SOUTH AUSTIN FAMILY PRACTICE CLINIC, PLLC
Active
Organization
SOUTH AUSTIN FAMILY PRACTICE CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN P SPENCER M.D. (PRESIDENT)
(512) 892-7076
Entity
Organization
Contact information
Practice address
5625 EIGER RD, SUITE 200, AUSTIN, TX 78735-8982
(512) 892-7076
(239) 599-2625
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
(239) 599-2625
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
213E00000X
Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235130592
NPI
TX
Enumeration date
08/09/2005
Last updated
06/20/2025
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