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Contact Information

BRIAN T SPORE, DO
3804 S MEDFORD
LUFKIN, TX75901
 Phone: 936-634-2231
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for BRIAN T SPORE · (Male)

NPI Number 1619077708
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 09/25/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • TX License # K5703
Hospital affiliation(s)
  • NACOGDOCHES MEDICAL CENTER - (Acute Care)
    4920 NE STALLINGS DRIVE
    NACOGDOCHES, TX 75961
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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