Individual
DR. ROGER ALLEN SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13601 PRESTON RD, SUITE 1000W, DALLAS, TX 75240-4911
(972) 715-5000
Mailing address
PO BOX 650426, DALLAS, TX 75265-0426
(972) 715-5000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
H0838
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120508005
—
TX
01
—
8S5358
BCBS
TX
01
—
P00301055
RAILROAD MEDICARE
TX
Enumeration date
12/28/2005
Last updated
03/05/2012
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