Individual
MR. PHILLIP SKOT SPEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD, RDN
Contact information
Practice address
1421 KARLA DR, HURST, TX 76053-3937
(817) 908-9015
Mailing address
1421 KARLA DR, HURST, TX 76053-3937
(817) 908-9015
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86104706
TX
133V00000X
Registered Dietitian
DT86546
TX
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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