Organization
KEITH IAN GARNET SPOONER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH I.G. SPOONER M.D. (OWNER)
(281) 593-1660
Entity
Organization
Contact information
Practice address
117 S WILLIAM BARNETT AVE, SUITE A, CLEVELAND, TX 77327-4541
(281) 593-1660
(281) 593-0730
Mailing address
117 S WILLIAM BARNETT AVE, SUITE A, CLEVELAND, TX 77327-4541
(281) 593-1660
(281) 593-0730
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G2229
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00997U
BLUE CROSS BLUE SHIELD
TX
Enumeration date
09/19/2007
Last updated
12/05/2007
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