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Individual

MARC P SPECTOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
18842 S MEMORIAL DR, SUITE 204, HUMBLE, TX 77338-4229
(281) 540-2234
(281) 540-2776
Mailing address
18842 S MEMORIAL DR, SUITE 204, HUMBLE, TX 77338-4229
(281) 540-2234
(281) 540-2776

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
0660
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00ET48
MEDICARE PTAN
TX
01
00U64X
MEDICARE PTAN
TX
05
112203801
TX
Enumeration date
07/07/2006
Last updated
07/01/2010
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