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Individual

DR. MARK JAY SPECTOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
3112 N JUPITER RD, STE. 213 A, GARLAND, TX 75044-6578
(972) 530-4655
(972) 495-9500
Mailing address
3112 N JUPITER RD, STE. 213 A, GARLAND, TX 75044-6578
(972) 530-4655
(972) 495-9500

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
1034
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
018658701
TX
Enumeration date
07/11/2006
Last updated
07/09/2007
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