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Shane Foree Spears, PA-C,CCP
Surgical Physician Assistant in Tyler, Texas
NPI 1336119916

Shane Foree Spears is a Surgical Physician Assistant based in Tyler, TX and is specialized in Surgical. Shane Foree Spears practices in Tyler, TX and has the professional credentials of PA-C,CCP. The NPI Number for Shane Foree Spears is 1336119916 and holds a License No. PA10004751 (Texas).

The current practice location address for Shane Foree Spears is 1000 S Beckham Ave, Tyler, TX and can be reached out via phone at 903-590-5611.

Location: 1000 S Beckham Ave, Tyler, TX, 75701-1908
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336119916
Provider Name
Shane Foree Spears
Credential
PA-C,CCP
Provider Entity Type
Individual
Gender
Male
Address
1000 S Beckham Ave, Tyler, TX, 75701-1908
Phone Number
903-590-5611
Fax Number
Provider Enumeration Date
01/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1060261 05 WA
9468232 01 WA AETNA
0225125 01 WA L&I AND CRIME VICTIMS
1425SP 01 WA REGENCE
institution
Provider Business Practice Location Address Details
Address
1000 S Beckham Ave
City
Tyler
State
Texas
Zip
75701-1908
Phone Number
903-590-5611
Fax Number
person
Provider Business Mailing Address Details
Address
1000 S Beckham Ave
City
Tyler
State
Texas
Zip
75701-1908
Phone Number
903-590-5611
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA10004751 (Washington)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
PA10004751 (Washington)
Definition
Definition to come...
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