Organization
SPUR MEDICAL CORPORATION
Active
Other names
Spur Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
GLENDA WHITE (ADMINISTRATOR)
(806) 271-3306
Entity
Organization
Contact information
Practice address
RR 1 BOX 17, 907 E. HILL ST, SPUR, TX 79370-9302
(806) 271-3306
(806) 271-4256
Mailing address
RR 1 BOX 17, 907 E. HILL ST, SPUR, TX 79370-9302
(806) 271-3306
(806) 271-4256
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
F3709
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00081N
MEDICARE GROUP
TX
01
—
1275617177
NPI
TX
01
—
86930N
MEDICARE
TX
01
—
F3709
MEDICAL LICENCE
TX
Enumeration date
12/13/2007
Last updated
12/18/2007
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