Individual
JACK W SPITZBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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