Individual
JOSE ARTURO SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2411 SARA RIDGE LANE, KATY, TX 77450
(713) 461-3573
(713) 468-1247
Mailing address
2411 SARA RIDGE LANE, KATY, TX 77450
(713) 461-3573
(713) 468-1247
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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