Individual
SCOTT STEVEN SPORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
418 N UTICA AVE, LUBBOCK, TX 79416-3035
(806) 771-5882
(806) 687-9002
Mailing address
418 N UTICA AVE, LUBBOCK, TX 79416-3035
(806) 771-5882
(806) 687-9002
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
K2124
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124581101
FIRSTCARE
TX
05
—
134316208
—
TX
01
—
8F5901
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/24/2006
Last updated
10/30/2024
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