Organization
IVAN C SPECTOR MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN C SPECTOR MD PA (PRESIDENT)
(713) 963-0769
Entity
Organization
Contact information
Practice address
3100 WESLAYAN ST, #350, HOUSTON, TX 77027-5727
(713) 963-0769
(713) 963-8536
Mailing address
3100 WESLAYAN ST, #350, HOUSTON, TX 77027-5727
(713) 963-0769
(713) 963-8536
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G5633
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00F89F
BCBS
TX
05
—
122926202
—
TX
Enumeration date
11/22/2006
Last updated
06/07/2012
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