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Individual

SPENCER CHARLES LOVELACE

Active
Find providers by NPI
Individual

SPENCER CHARLES LOVELACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Q2583
TX
207Q00000X
Family Medicine Physician
Primary
MMD39331
SC
390200000X
Student in an Organized Health Care Education/Training Program
BP10047856
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
393318
—
SC
01
—
575421
BASIC POSTGRADUATE PERMIT
TX
Enumeration date
05/06/2013
Last updated
11/09/2016
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