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Contact Information

LANCE SPACEK, MD
7400 MERTON MINTER ST
CLINIC 1G
SAN ANTONIO, TX78229-4404
 Phone: 210-949-3045
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207RS0010X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for LANCE SPACEK · (Male)

NPI # 1861783151
Status Active
Credentials MD
Entity Individual
Enumeration date 04/21/2011
Last updated 12/15/2016 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • TX License # Q8645
Hospital affiliation(s) Not Available
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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