Individual
JACK W SPITZBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8440 WALNUT HILL LN STE 400, DALLAS, TX 75231-3879
(214) 369-3613
(214) 369-6042
Mailing address
8440 WALNUT HILL LN STE 400, DALLAS, TX 75231-3879
(214) 369-3613
(214) 369-6042
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
E4085
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060036467
RAILROAD
TX
01
—
110044853
RAILROAD
TX
05
—
116656301
—
TX
05
—
116656303
—
TX
01
—
80A132
BCBS
TX
01
—
P00044329
RAILROAD
TX
Enumeration date
07/19/2005
Last updated
02/19/2022
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