Individual
MRS. KARA RUTH SPAULDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
1900 PINE ST, ABILENE, TX 79601-2432
(325) 370-4641
Mailing address
1966 PORTLAND AVE, ABILENE, TX 79605-5247
(325) 370-4641
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
201720
TX
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13919926
DRIVER'S LICENSE
TX
Enumeration date
05/01/2021
Last updated
06/14/2021
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