Individual
JOSE ARTURO SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G1554
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117144903
—
TX
01
—
300018341
RAILROAD MEDICARE
—
01
—
81544R
BLUE CROSS BLUE SHIELD
TX
Enumeration date
05/24/2005
Last updated
04/15/2010
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