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Mr. Spencer Andrew Shillinglaw
Student in an Organized Health Care Education/Training Program in Conroe, Texas
NPI 1477254092

Spencer Andrew Shillinglaw is a Student in an Organized Health Care Education/Training Program based in Lewisville, TX. Spencer Andrew Shillinglaw practices in Conroe, TX. The NPI Number for Spencer Andrew Shillinglaw is 1477254092 and holds a License No. (Texas).

The current practice location address for Spencer Andrew Shillinglaw is 925 City Central Ave, Conroe, TX and can be reached out via phone at 936-202-5230 and via fax at 936-202-5230.

Location: 925 City Central Ave, Conroe, TX, 75067-8827
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477254092
Provider Name
Spencer Andrew Shillinglaw
Credential
Provider Entity Type
Individual
Gender
Male
Address
925 City Central Ave, Conroe, TX, 75067-8827
Phone Number
936-202-5230
Fax Number
936-202-5230
Provider Enumeration Date
03/10/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
925 City Central Ave
City
Conroe
State
Texas
Zip
77304-2981
Phone Number
936-202-5230
Fax Number
936-202-5230
person
Provider Business Mailing Address Details
Address
925 City Central Ave
City
Conroe
State
Texas
Zip
77304-2981
Phone Number
936-202-5230
Fax Number
936-202-5230
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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