Individual
DR. SCOTT JAY SPEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4150 CROSSPOINT BLVD, EDINBURG, TX 78539-1803
(956) 296-1960
(956) 381-5397
Mailing address
2102 TREASURE HILLS BLVD # 3.14406, HARLINGEN, TX 78550-8736
(956) 296-1437
(956) 296-6842
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
36224-020
WI
2080A0000X
Pediatric Adolescent Medicine Physician
E-5207
AR
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
F3348
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0997629-45
—
TX
01
—
H08ML39401
BCBS
TX
Enumeration date
12/14/2005
Last updated
05/04/2020
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