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Individual
SCOTT STEVEN SPORE
Active
Individual
SCOTT STEVEN SPORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
K2124
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124581101
FIRSTCARE
TX
05
—
134316208
—
TX
01
—
8F5901
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/24/2006
Last updated
10/30/2024
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