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TIMOTHY AARON SPENCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12221 N MOPAC EXPY, AUSTIN, TX 78758-2401
(737) 247-7200
(512) 406-7368
Mailing address
7800 SHOAL CREEK BLVD, SUITE 205N, AUSTIN, TX 78757-1098
(915) 542-2352
(512) 406-6216

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
00025763
AL
208000000X
Pediatrics Physician
MD00049218
WA
208000000X
Pediatrics Physician
P2534
TX
208M00000X
Hospitalist Physician
Primary
P2534
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
302726001
TX
05
302726002
TX
05
302726003
TX
05
302726004
TX
Enumeration date
11/17/2005
Last updated
10/16/2018
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