Individual
ANDREW O SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
720 AVENUE F N, BAY CITY, TX 77414-9573
(979) 245-2777
Mailing address
PO BOX 678431, DALLAS, TX 75267-8431
(979) 245-2677
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
710567
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202091903
—
TX
Enumeration date
05/15/2009
Last updated
04/27/2010
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