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Individual
JERRY L SPINKS
Active
Individual
JERRY L SPINKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E1137
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AJ05
BCBS
TX
01
—
E1137
LIC NUMBER
—
Enumeration date
08/30/2006
Last updated
06/01/2011
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