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Individual

KOLE HOLLAND SPAULDING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 539-9582
Mailing address
2200 BERGQUIST DR, WHMC/GE-2200 STE 1, JBSA LACKLAND AFB, TX 78236-5300
(208) 599-1804

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
0101265987
VA
208D00000X
General Practice Physician
1003340381
TX
390200000X
Student in an Organized Health Care Education/Training Program
TX

Other

Enumeration date
04/13/2017
Last updated
10/05/2020
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