Individual
DAVE S SPEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1301 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2122
(817) 882-2000
Mailing address
PO BOX 802001, DALLAS, TX 75380-3831
(432) 528-1985
(817) 496-5151
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
H9719
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0073LB
BLUECROSS BLUESHIELD
TX
05
—
122166505
—
TX
Enumeration date
06/15/2006
Last updated
05/21/2014
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