Individual
STUART KEITH SPITZER
Active
Individual
STUART KEITH SPITZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
J6740
TX
208600000X
Surgery Physician
J6740
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045579202
—
TX
05
—
045579203
—
TX
01
—
8F3312
BLUE SHIELD
TX
01
—
8K9466
BLUE SHIELD - THG
TX
01
—
P00210901
MEDICARE RAILROAD
TX
Enumeration date
10/11/2005
Last updated
01/26/2024
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