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Dr. Charla C Spencer, MD
Obstetrics & Gynecology Physician in Tyler, Texas
NPI 1700851193

Charla C Spencer is a Obstetrics & Gynecology Physician based in Dallas, TX. Charla C Spencer practices in Tyler, TX and has the professional credentials of MD. The NPI Number for Charla C Spencer is 1700851193 and holds a License No. L0615 (Texas).

The current practice location address for Charla C Spencer is 1720 S Beckham Ave Ste 104, Tyler, TX and can be reached out via phone at 903-597-2002.

Location: 1720 S Beckham Ave Ste 104, Tyler, TX, 75284-6098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700851193
Provider Name
Charla C Spencer
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1720 S Beckham Ave Ste 104, Tyler, TX, 75284-6098
Phone Number
903-597-2002
Fax Number
Provider Enumeration Date
02/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
039151802 05 TX
752616977026 01 TX TRICARE
75-2616977-136 01 TX TRICARE
8A0740 01 TX BCBS OF TEXAS
7600108 01 TX AETNA
8FL328 01 TX BCBS
039151801 05 TX
039151804 05 TX
P01572867 01 TX RAIL ROAD MEDICARE
123894 01 TX SUPERIOR CHIPS
039151805 05 TX
45-2578435-002 01 TX TRICARE
institution
Provider Business Practice Location Address Details
Address
1720 S Beckham Ave Ste 104
City
Tyler
State
Texas
Zip
75701-4464
Phone Number
903-597-2002
Fax Number
person
Provider Business Mailing Address Details
Address
1720 S Beckham Ave Ste 104
City
Tyler
State
Texas
Zip
75701-4464
Phone Number
903-597-2002
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
L0615 (Texas)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
207VG0400X
License No.
L0615 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Obstetrics
Taxonomy
207VX0000X
License No.
L0615 (Texas)
Definition
Definition to come...
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