Brian Spore Do PA

NPI #1114218708 in Lufkin, Texas

Provider Information

NPI Number: 1114218708
Entity Type: Organization
Organization Name: Brian Spore Do PA
Primary Specialty: Point of Service
Enumeration Date: Apr 29, 2011
Last Updated: Apr 29, 2011

Practice Location

Address: 3804 S MEDFORD DR
City: Lufkin
State: Texas
ZIP Code: 75901-5780
Phone: (936) 634-2231

Authorized Official

Name: DR. BRIAN SPORE
Title: DO
Phone: (936) 634-2231

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Point of Service	305S00000X	Primary

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