Organization · Type 2 NPI

Brian Spore Do PA

Point of Service · Lufkin, TX

NPI number 1114218708 Active

Practice location

3804 S Medford Dr
Lufkin, TX 75901-5780

Fax (936) 634-8012

Specialties and licenses

TaxonomyCodeLicense
Point of Service Primary 305S00000XK5703 (TX)

Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

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About NPI 1114218708

Brian Spore Do PA's National Provider Identifier is 1114218708, issued on Apr 29, 2011. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Lufkin, TX. The record was last updated on Apr 29, 2011.