Individual
LANCE SPACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7400 MERTON MINTER ST, CLINIC 1G, SAN ANTONIO, TX 78229-4404
(210) 949-3045
Mailing address
7400 MERTON MINTER ST, CLINIC 1G, SAN ANTONIO, TX 78229-4404
(210) 949-3045
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Q8645
TX
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
Q8645
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2011
Last updated
12/15/2016
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