Individual
EBONEE N SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
Mailing address
PO BOX 1865, HUMBLE, TX 77347-1865
(318) 550-1968
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
844758
TX
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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