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Brian Spore Do Pa
Point of Service in Lufkin, Texas
NPI 1114218708

Brian Spore Do Pa is a Point of Service based in Lufkin, TX. Brian Spore Do Pa practices in Lufkin, TX. The NPI Number for Brian Spore Do Pa is 1114218708 and holds a License No. K5703 (Texas).

The current practice location address for Brian Spore Do Pa is 3804 S Medford Dr, Lufkin, TX and can be reached out via phone at 936-634-2231 and via fax at 936-634-8012.

Location: 3804 S Medford Dr, Lufkin, TX, 75901-5780
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114218708
Provider Name
Brian Spore Do Pa
Credential
Provider Entity Type
Organization
Address
3804 S Medford Dr, Lufkin, TX, 75901-5780
Phone Number
936-634-2231
Fax Number
936-634-8012
Provider Enumeration Date
04/29/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
092514101 05 TX
institution
Provider Business Practice Location Address Details
Address
3804 S Medford Dr
City
Lufkin
State
Texas
Zip
75901-5780
Phone Number
936-634-2231
Fax Number
936-634-8012
person
Provider Business Mailing Address Details
Address
3804 S Medford Dr
City
Lufkin
State
Texas
Zip
75901-5780
Phone Number
936-634-2231
Fax Number
936-634-8012
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
K5703 (Texas)
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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