Organization
SPUR MEDICAL CORPORATION
Active
Organization
SPUR MEDICAL CORPORATION
Active
Other names
Spur Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLENDA WHITE (ADMINISTRATOR)
(806) 271-3306
Entity
Organization
Contact information
Practice address
907 E HILL ST, SPUR, TX 79370-2532
(806) 271-3306
(806) 271-4256
Mailing address
907 E. HILL ST, SPUR, TX 79370-2532
(806) 271-3306
(806) 271-4256
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
F3709
TX
261QR1300X
Rural Health Clinic/Center
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0636748-02
—
TX
05
—
063674801
—
TX
05
—
079808401
—
TX
01
—
100106106
FIRSTCARE PROVIDER NUMBER
TX
01
—
1275617177
STEVE B. ALLEY, M.D. NPI
TX
01
—
1285787762
JENNIFER WARREN, NPI#
TX
05
—
137930707
—
TX
Enumeration date
01/19/2007
Last updated
01/30/2009
Update your record
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