NPI 1114218708

Brian Spore DO PA

Organisation Point of Service Lufkin, TX

Practice location

Address: 3804 S Medford Dr, Lufkin, TX 75901-5780
Phone: (936) 634-2231
Fax: (936) 634-8012

Authorised official

Name: Brian Spore
Title: DO
Phone: (936) 634-2231

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence K5703 (TX)

Other Point of Service providers in Texas →

Registry record

NPI: 1114218708
Entity type: Organization
NPI issued: 29 Apr 2011
Record last updated: 29 Apr 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.