Individual provider · Type 1 NPI

Spencer Sage Heath, DO

Student in an Organized Health Care Education/Training Program · Fort Worth, TX

NPI number 1215677455 Active

Practice location

1575 S Main St
Fort Worth, TX 76104-4901

Call (817) 702-8828 Map

Mailing address

4120 Tupelo Trl
Fort Worth, TX 76244-6929

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XV3319 (TX)
Emergency Medicine Physician 207P00000XV3319 (TX)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1215677455

Spencer Sage Heath, DO's National Provider Identifier is 1215677455, issued on Mar 29, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Worth, TX. The record was last updated on Aug 26, 2024.