Organization
BRIAN SPORE DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN SPORE (DO)
(936) 634-2231
Entity
Organization
Contact information
Practice address
3804 S MEDFORD DR, LUFKIN, TX 75901-5780
(936) 634-2231
(936) 634-8012
Mailing address
3804 S MEDFORD DR, LUFKIN, TX 75901-5780
(936) 634-2231
(936) 634-8012
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
K5703
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092514101
—
TX
Enumeration date
04/29/2011
Last updated
04/29/2011
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